在患有联合骨盆环和膀损伤的患者中,与感染相关的因素
Nathan P Olszewski1, Joseph Sliepka2, Joseph J Bigham2
1Boston University Orthopaedics, Boston Medical Center, Boston, MA.
Journal of orthopaedic trauma
|August 16, 2024
概括
对于骨盆环和膀损伤的开放缩小和内部固定显示了低的感染率. 结合内和外膀损伤增加了这些患者的感染风险.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 联合的骨盆环和膀损伤带来了复杂的管理挑战.
- 感染是这些损伤的手术治疗后的一个重要并发症.
研究的目的:
- 为了确定结合的骨盆环和膀损伤的患者的感染率.
- 确定与感染风险相关的治疗和受伤因素.
主要方法:
- 在12年的时间内对106名患者进行了回顾性审查.
- 纳入标准:结合的骨盆环和膀损伤,前骨盆稳定,随访>=90天.
- 排除标准:非操作性管理,孤立的后部固定.
主要成果:
- 总体而言,深层感染率为6.6% (7/106),需要进行手术.
- 开放的减少和内部固定与和急性膀修复有2.2%的感染率.
- 用外部固定或穿皮螺丝进行封闭缩减的感染率为17.6%.
- 结合的腹膜内和腹膜外膀损伤的感染率明显高 (23%) 与孤立的损伤相比 (P=0.029).
结论:
- 骨盆前部的急性开放缩小和内部固定与患有联合骨盆环和膀损伤的患者的感染率较低有关.
- 患有内和外膀损伤的患者面临感染的风险较高.
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