在前椎固定后进行皮肤扩张性气管切除术 - - 一项追溯倾向匹配的队列研究
Ronny Meisterfeld1,2, Anne Queck3, Alexander Carl Disch4,5
1Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, University of Technology Dresden, Dresden, Germany. ronny.meisterfeld@uniklinikum-dresden.de.
概括
在前脊柱固定 (ACSF) 后,穿皮扩张气管切除术 (PDT) 是安全的. 并发症的发生率与没有ACSF的患者相似,手术部位感染很少.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
背景情况:
- 前宫脊柱固定 (ACSF) 常见于各种宫脊柱疾病.
- 接受ACSF的患者通常需要机械通风,需要气管切除术.
- 由于ACSF与手术部位的距离很近,因此人们对皮肤扩张气管切除术 (PDT) 的安全性感到担忧.
研究的目的:
- 评估在接受了ACSF的患者中PDT的安全性和并发症率.
- 为了比较之前有和没有ACSF的患者之间的手术内和手术后并发症的发生率.
- 在ACSF组中评估PDT后手术部位感染的风险.
主要方法:
- 追溯性,单中心研究,比较有和没有ACSF接受Ciaglia单步PDT的患者.
- 倾向性得分匹配用于创建可比较的组.
- 使用普森的定义和克拉维恩-丁多分类,分析手术内和手术后的并发症.
主要成果:
- 1175名患者接受PDT;有57名ACSF患者与没有ACSF的57名患者匹配.
- ACSF和PDT之间的平均间隔为11.3天.
- 整体并发症率相似 (19.3%的ACSF与21.1%的非ACSF);没有发现显著差异. 没有发生ACSF手术部位感染.
结论:
- 在ACSF后的患者中,PDT是一种可行的和安全的程序.
- 在ACSF之后的PDT的并发症率与以前没有ACSF的患者的并发症率相似.
- 在PDT后,前椎的手术部位感染很少发生.
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