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门诊腰椎切除术期间的杜罗托米不应该排除当天出院:一个案例系列

Joshua L Golubovsky¹, Michael Spadola¹, Connor Wathen¹

¹Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Neurosurgery practice

|February 17, 2025

概括

腰部减压手术后同日排泄,随着偶尔的硬骨修复是安全的. 这种方法可以在不增加并发症的情况下降低医疗保健成本,从而支持患者提前出院.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
外科手术的结果

背景情况:

单层腰部双膜切除术和微切除术 (HLMD) 是一种标准的门诊手术.
偶发性硬膜切除术是一种常见的并发症,往往导致长时间住院.
有限的数据存在于同一天排放的安全性在偶发的杜罗托米修复后.

研究的目的:

评估一级腰部HLMD的患者在偶发的长度切除术修复后在同一天出院的安全性和可行性.
在同一天出院的患者中,评估与硬度切除相关的并发症,再入院和重复手术.

主要方法:

对于接受单级腰部HLMD的成年患者的电子病历的回顾性审查.
由一位外科医生从2013年到2021年收集的数据.
用于数据分析的描述性统计.

主要成果:

在346次HLMD手术中,发生了17次偶然的胸腔切除 (4.9%),所有手术都得到了修复.
17名患者中有12名 (70.6%) 在术后第0天出院.
在同一天出院的患者中,没有观察到与硬度切除相关的并发症,再入院或重新手术.

结论:

在单层腰部HLMD中,在偶发的杜拉托米修复后的同一天排泄是安全的.
这种做法可能会使医疗保健成本大大降低.
建议对更广泛的腰部减压手术和微创手术进行进一步的研究.

关键词:

一个健行医疗系统.经济效益性经济效益性偶尔发生的硬度切除.逗留时间逗留时间微分隔切除术 (microdiscectomy) 是一个微分隔切除术.门诊患者门诊患者门诊患者

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