关节整形术在脏移植前或之后的结果:回顾性大队列分析
Zhichang Zhang1,2, Elizabeth Driskill2, Jialun Chi2
1Department of Orthopaedic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Clinics in orthopedic surgery
|June 3, 2024
概括
在关节整形手术 (THA) 之前接受移植 (RT) 的患者比末期病 (ESRD) 患者出现的并发症少. 等待RT的ESRD患者应推迟THA以减少风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 整形外科手术 整形外科手术
- 移植医学 移植医学
背景情况:
- 末期病 (ESRD) 患者在全关节整形术 (THA) 后面临更高的并发症风险.
- 对于ESRD患者和接受脏移植 (RT) 患者之间的THA结果,存在有限的比较数据.
研究的目的:
- 为了比较初级全关节整形手术 (THA) 的结果,在末期脏疾病 (ESRD) 患者,接受过脏移植 (RT) 的患者和等待RT的患者中.
主要方法:
- 使用PearlDiver Mariner数据库对7,868名接受初级THA治疗的患者进行了回顾性分析.
- 患者被分为三个组:ESRD,THA之前的RT和RT候选人.
- 多变量后勤回归分析了90天的医学并发症和2年的手术并发症,包括急诊室的访问和再入院.
主要成果:
- 与ESRD患者相比,RT患者的医疗并发症 (例如肺炎,输血) 和手术并发症 (例如伤口并发症,周围假肢关节感染 [PJI],无菌松动) 的发生率明显较低.
- 与ESRD患者相比,RT患者的90天急诊和再入院率也较低.
- 与RT候选人相比,RT患者表现出较少的术后并发症,包括PJI和无菌松动.
结论:
- 脏移植 (RT) 与关节整形术 (THA) 后的医疗和手术并发症明显减少,与末期脏疾病 (ESRD) 相比.
- 等待RT的ESRD患者应考虑将THA推迟到移植后才能减轻并发症风险.
- 对于无法接受RT的ESRD患者,需要采取更严格的预防措施,以尽量减少术后并发症.
更多相关视频
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
3.4K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
相关概念视频
Kidney Transplant I: Introduction
719
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
719
Kidney Transplant II: Surgical Procedure
815
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
815
Kidney Transplant III: Nursing Management
580
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
580
Acute Kidney Injury III: Clinical Manifestations
1.5K
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
1.5K
