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在脊柱外科手术后,皮质炎的发生率和危险因素
Yusef J Jordan1, Gregory S Kazarian, Kyle W Morse
1Department of Spine Surgery, Hospital for Special Surgery, New York, NY.
在脊椎手术后,术后阴道 (POI) 的发生率很低,为1.63%. 关键的危险因素包括先前的,便秘,以及特定的手术因素,如融合和定位.
科学领域:
- 脊柱外科手术的结果
- 胃肠道并发症 胃肠道并发症
- 手术风险因素 手术风险因素
背景情况:
- 手术后阴茎 (POI) 是手术后的一个常见问题.
- 在脊椎手术后确定POI的发病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定各种类型的脊柱手术后手术后 (POI) 的发生率.
- 识别与POI发展相关的人口,外科及历史风险因素.
主要方法:
- 对10666名脊柱手术患者 (2019-2021) 的回顾性数据库分析.
- 包括患者人口统计数据,术后因素 (阿片类药物使用,行走),病史/外科病史和手术细节.
- 对有和没有临床和放射性确认POI的患者进行比较.
主要成果:
- 整体POI发病率为1.63%,显著增加了逗留时间.
- 强烈的POI预测因素包括先前的阴囊病史 (OR 21.13) 和便秘 (OR 33.19).
- 增加POI风险的因素包括融合,仰卧/侧卧位置,胸椎/腰椎手术和多个手术位置. 在POI患者中,早期出行减少和阿片类药物消费增加.
结论:
- 脊椎手术后POI的发生率很低,但与长时间住院有关.
- 非可修改的预测因素包括先前的阴囊和便秘;可修改的手术因素包括融合和患者定位.
- 建议以早期出行和减少阿片类药物使用为重点的外科手术期间策略,以减轻POI风险.
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