[在无菌性关节修复手术中出现意外阳性手术内培养的相关因素分析]
Y Z Hou1, Y C Li1, Nuerailijiang Yushan1
1Department of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University, Key Laboratory of High Incidence Disease Research in Xingjiang(Xinjiang Medical University), Ministry of Education; Xinjiang Clinical Research Center for Orthopedics, Urumqi 830054, China.
Zhonghua wai ke za zhi [Chinese journal of surgery]
|February 11, 2025
概括
在无菌性关节修复期间,意外的阳性手术内培养 (UPC) 与男性性别,阳性手术前尿道细菌和美国麻醉学会 (ASA) IV分类有关. 然而,这些积极的培养不会影响10年假肢存活率.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 医学诊断 医学诊断 医学诊断
背景情况:
- 麻性关节修复手术的目的是解决假肢失败而不感染.
- 意想不到的阳性手术内培养 (UPC) 可以使无菌程序复杂化.
- 确定UPC的风险因素对于优化患者的治疗结果至关重要.
研究的目的:
- 为了确定与UPC相关的因素在无菌性部修订.
- 评估UPC患者的长期假肢存活率.
主要方法:
- 对397名接受无菌部修复的患者进行了回顾性病例系列分析.
- 患者分为培养阳性 (32) 和培养阴性 (365) 组.
- 后勤回归分析确定了UPC的独立风险因素;卡普兰-梅尔曲线评估了假肢存活率.
主要成果:
- 男性性别,美国麻醉师协会 (ASA) IV分类和阳性手术前尿道细菌是UPC的独立风险因素 (P<0.05).
- 培养负组的10年假肢存活率为95.7%,培养阳性组为75.0%.
- 两组之间没有观察到10年假肢存活时间的统计学上显著差异 (P=0.663).
结论:
- 男性患者,手术前尿路细菌阳性患者和ASA IV分类患者在无菌部修复期间面临更高的UPC风险.
- 术内培养的结果,无论是积极的还是消极的,似乎不会影响部修复后的10年假肢存活率.
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