伤口愈合并发症与面部虫恶性切除后分阶段重建相关
Anna E Bakeman1, Ling Tong2, John S Rhee1
1Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Facial plastic surgery & aesthetic medicine
|July 26, 2024
概括
面部形恶性重建的并发症率为26%. 术后的抗生素和较小的缺陷大小 (低于2.7厘米) 可能会降低感染和移植结等风险.
科学领域:
- 皮肤外科手术皮肤外科手术
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
背景情况:
- 面部恶性眼镜 (LM) 的分阶段重建后的伤口并发症率和风险因素尚未得到充分确立.
- 了解这些因素对于优化患者治疗结果至关重要.
研究的目的:
- 为了确定面部LM的分阶段重建后30天内伤口并发症的发生率和类型.
- 为了确定一个关键的缺陷大小值,预测伤口并发症.
主要方法:
- 在5年内对98名面部LM进行分阶段重建的患者进行了回顾性审查.
- 对外科医生的临床笔记分析伤口并发症,包括感染,亡,血瘤,表皮溶解和血清瘤.
- 统计分析以确定风险因素和预测缺陷大小.
主要成果:
- 在98名患者中观察到26%的并发症率,伤口感染 (36%) 和移植缩 (24%) 是最常见的.
- 在外科手术期间使用抗生素与明显较低的并发症率有关 (OR:0.36;95%CI:0.13,0.96;p=0.041).
- 最大直径超过2.7厘米的缺陷对预测并发症具有很高的敏感性.
结论:
- 面部LM的分阶段重建具有严重的伤口并发症风险 (26%).
- 在外科手术期间使用抗生素可以减轻并发症风险.
- 缺陷大小大于2.7厘米是不良伤口事件的重要风险因素.
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