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在选择性腰椎脊柱融合手术中常规手术前尿液分析的实用性
Stevin Lu1, Ian Marquez2, Hania Shahzad2
1Creighton School of Medicine, Omaha, NE, USA.
Global spine journal
|March 28, 2025
概括
常规的手术前尿检可能在预测选择性腰部融合手术后的术后并发症方面发挥着有限的作用. 虽然阳性尿检与更高的尿路感染率有关,但其他并发症和结果没有显著差异.
科学领域:
- 神经外科 神经外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健管理的管理
背景情况:
- 术前评估对于优化选择性腰椎融合手术 (ELFS) 患者结果至关重要.
- 在预测ELFS后的术后并发症方面,例行术前尿液分析的实用性尚不清楚.
研究的目的:
- 评估常规手术前尿液分析在ELFS后术后并发症的预测价值.
- 为ELFS提供术前评估指南和患者咨询提供信息.
主要方法:
- 对493名因退行性病理而接受ELFS的患者进行了回顾性队列研究 (2018-2022).
- 患者被分为没有尿分析,消极尿分析和积极尿分析的组.
- 对术后并发症的分析,急诊室的访问,并在3个月内返回手术室.
主要成果:
- 尿检阳性患者的术后泌尿道感染 (UTI) 发生率明显较高.
- 在其他并发症 (肺炎,细菌病,伤口感染) 或结果 (返回OR/ED,导管持续时间,停留时间) 中没有发现显著差异.
- 在尿检阳性组中,术前抗生素的使用率更高.
结论:
- 常规的手术前尿检似乎在预测ELFS后大多数术后并发症方面发挥着有限的作用.
- 研究结果表明,有可能完善手术前评估方案和ELFS患者咨询.
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