[翻译文章] 在接受后腰椎关节形治疗的患者中预防血栓事件:我们的经验. 一个回顾性的案例研究系列研究
M Desviat Ruiz1, P Jordà Gómez1, K Ramón López1
1Cirugía Ortopédica y Traumatología, Hospital General Universitario de Castellón, Spain.
Revista espanola de cirugia ortopedica y traumatologia
|November 10, 2024
概括
这项研究建议在脊椎后部手术中预防静脉血栓栓塞 (VTE) 的方案. 虽然VTE很罕见,但它可能是严重的;这种方法旨在减少其发生率和相关并发症.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 在脊椎外科手术中对外科手术期间静脉血栓塞栓症 (VTE) 预防的共识尚不清楚.
- 包括深静脉血栓和肺栓塞在内的VTE,尽管罕见,但存在重大风险.
- 有效的VTE预防策略对于脊柱后部手术中的患者安全至关重要.
研究的目的:
- 建立在后脊椎手术中预防血栓事件的指导方针.
- 为了评估特定的VTE预防方案的疗效.
- 通过优化静脉动脉瘤预防,潜在地减少外周血瘤的发生率.
主要方法:
- 一项对235名接受后脊椎关节切除的患者的回顾性研究.
- 所有患者都接受了机械血栓预防 (压缩).
- 基于个体血栓形成风险因素进行抗凝剂治疗;鼓励早期减肥.
主要成果:
- 153名患者符合纳入标准;发生了4例血栓事件 (1例DVT,3例PE).
- 三名肺栓塞 (PE) 患者死亡.
- 没有确定血栓事件的统计学显著风险因素;所有受影响的患者都接受了抗凝药.
结论:
- 实施的协议证明了研究队列中血栓栓塞事件的充分预防.
- 这些发现支持在脊柱后部手术中进行静脉瘤预防的结构化方法.
- 进一步的研究可能会完善VTE预防策略,以平衡疗效和出血风险.
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