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在全盘置换中感染的呈现和管理:一项审查

Hannah Spece¹, Armen Khachatryan², Frank M Phillips³

¹Drexel University Implant Research Core, 3401 Market St., Suite 345, Philadelphia, PA, 19104, USA.

North American Spine Society journal

|April 9, 2024

概括

在全盘置换术 (TDR) 后的延迟感染是罕见但严重的. 本次审查强调了对TDR感染的标准化定义和管理指南的必要性,以改善患者的治疗结果.

科学领域:

脊柱外科手术脊柱外科手术
传染性疾病传染性疾病
生物材料是一种生物材料.

背景情况:

全盘置换 (TDR) 是治疗椎和腰椎问题的一种常见治疗方法.
在TDR之后的感染,尤其是延迟感染,很少发生,但可能会产生严重的后果.
目前对TDR感染的临床管理策略缺乏共识.

研究的目的:

为了确定TDR感染的报告发病率.
描述TDR感染的临床表现.
对TDR感染的现有管理方法进行审查.

主要方法:

使用PubMed和Embase进行了文献搜索.
包括报告TDR感染率,诊断,管理或积极培养失败的研究.
审查了20个数据库研究和10个案例报告.

主要成果:

发现TDR感染缺乏标准化定义,导致诊断的变化和潜在的报告不足.
报告的感染率很低,但由于缺乏明确的定义,数据分析受到阻碍.
治疗的成功取决于诸如症状发作,致病微生物和植入物稳定性等因素.

结论:

现有的TDR感染治疗策略各不相同,但在消除感染和脊柱重建方面出现了共同的主题.
这些发现强调了对TDR感染的更强有力的定义的必要性.
这一审查将为TDR感染管理的未来建议提供指导.

关键词:

细菌细菌是一种细菌.宫脊椎的部脊柱的部脊柱的部图像成像是一种成像.感染感染感染腰椎脊柱的腰椎脊柱是指腰椎脊柱的部分.完全更换磁盘 (TDR) 的时间

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