炎症性肠病是腰椎切除术后并发症和复查的危险因素
Yi Zhang1,2, Jialun Chi2, Brock Manley2
1Department of Spine Surgery, Spinal Deformity Center, The Second Xiangya Hospital of Central South University, Changsha, China.
患有炎症性肠病 (IBD) 的患者在腰椎切除手术后面临更高的并发症风险. 在手术前管理IBD对于减少这些患者的不良结果至关重要.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 胃肠病学 胃肠病学
- 炎症性肠道疾病研究研究
背景情况:
- 炎症性肠病 (IBD) 与手术并发症风险的增加有关.
- 腰椎间盘切除术是腰椎间盘 (LDH) 的常见手术.
研究的目的:
- 为了确定IBD是否是腰椎切除术后并发症的独立风险因素.
- 为了比较IBD患者和匹配的对照组之间的术后结果.
主要方法:
- 追溯队列研究的设计.
- 匹配了6134名IBD患者与对照 (1:5比) 进行腰椎切除术以治疗LDH.
- 多变量后勤回归分析了90天的并发症,急救诊所,再入院和2-3年重新切割/融合率.
主要成果:
- 在IBD患者中,医疗和切口相关并发症的发生率明显较高.
- 在IBD队列中观察到急诊室访问和再入院率的增加.
- IBD与更高的2年重新切割和3年腰部融合率有关.
结论:
- 经历腰椎间盘切除术的IBD患者的并发症发生率明显更高.
- 脊椎外科医生应该认识到并管理IBD作为风险因素.
- 在手术前优化IBD管理可能会减轻手术风险.
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