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在患有贝塞特病的患者中术后并发症
You Jin Jung1, Eun Hye Park2,3, Ju Yeon Kim4,5
1Division of Rheumatology, Department of Internal Medicine, Seoul Metropolitan City Seoul Medical Center, Seoul, Republic of Korea.
Clinical rheumatology
|October 30, 2024
概括
有 Behçet 的患者.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 炎症性疾病是一种炎症性疾病.
背景情况:
- 贝切特病 (BD) 是一种罕见的多系统性炎症性疾病.
- 在BD患者的手术风险还不清楚.
- 了解术后并发症对于患者管理至关重要.
研究的目的:
- 为了确定手术后并发症的频率,在患有贝塞特病的患者.
- 为了比较BD患者和匹配的对照人群之间的手术并发症风险.
主要方法:
- 对接受手术的389名BD患者 (2003-2019) 的回顾性分析.
- 1:1匹配对照基于年龄,性别和手术类型.
- 概括估计方程分析用于并发症比较.
主要成果:
- 在BD患者的手术中,5.7%的手术有并发症 (衰变,出血,感染).
- 在心血管 (33.3%) 和血管 (22.2%) 手术后,并发症的发生率更高.
- 与对照人群相比,心血管手术后BD患者患并发症 (OR 3.4) 和重新手术 (OR 5.2) 的风险较高.
结论:
- 贝塞特病的术后并发症风险因手术类型而异.
- 心血管外科手术对BD患者的风险增加.
- 眼科手术在BD患者中似乎是安全的,与对照人群相比.
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