对儿科组织扩张并发症的危险因素的多变量分析
Chihiro Katsushima, Yoshihiro Sowa, Michiharu Sakamoto1
1From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Kyoto, Japan.
Annals of plastic surgery
|April 30, 2024
概括
年龄较小是儿科患者组织扩展器并发症的重要危险因素. 这一发现对于手术规划和关于重建性手术结果的家庭咨询至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
- 重建性手术是一种重建性手术.
背景情况:
- 组织扩张剂在瘤切除,创伤,烧伤和脱发后的皮肤重建中至关重要.
- 感染和挤出等并发症可能会随着组织扩展器的使用而发生.
- 确定患儿特异性并发症风险因素是必不可少的.
研究的目的:
- 分析小儿病患者使用组织扩张器相关的主要并发症的风险因素.
- 利用多变量分析来对这些风险因素进行可靠的识别.
主要方法:
- 在10年内 (2012年4月 - 2022年3月) 进行了回顾性,单中心的观察性研究.
- 包括为各种疾病接受组织扩展器手术的儿科患者.
- 进行了单变量和多变量逻辑回归分析,以确定并发症的风险因素.
主要成果:
- 在44名患者和92次手术中,每个扩展器的整体并发症率为14.3%.
- 年龄较小,扩展器数量增加,先前感染史和扩展器位置与单变量分析中更高的并发症率有关.
- 多变量分析证实年龄较小是并发症的独立风险因素 (OR,1.14;P = 0.043).
结论:
- 年龄较小是儿科患者组织扩展器并发症的独立预测因素.
- 这一发现需要在术前规划过程中仔细考虑.
- 与家庭的讨论应该突出与年轻年龄相关的风险增加.
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