评估在骨盆和骨外伤外科手术中常规术后放射图的有用性
Alexander Berk1,2, Logan Good3,4, Harkirat Jawanda3,5
1Department of Orthopedics, University Hospitals Cleveland Medical Center, Cleveland, USA. alexander.berk2@uhhospitals.org.
概括
在骨盆和骨骨折手术后,常规的早期术后X射线不是对护理变化的可靠预测. 只有在临床上说明时才能订购这些X射线,可以提高成本效益并减少辐射暴露.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 创伤护理 创伤护理
背景情况:
- 在骨盆和骨骨折固定后的早期术后成像是常见的,通常没有明确的迹象.
- 常规早期术后X射线与手术内光镜的诊断效用尚不清楚.
研究的目的:
- 为了比较早期的术后X射线与手术内光镜的实用性,以评估减少质量和在骨盆和骨骨折固定中植入物的准确性.
- 为了确定早期的术后X射线是否能预测患者护理的变化.
主要方法:
- 对经历骨盆骨折和骨骨折固定治疗的成年患者进行了回顾性队列研究.
- 两位失明的骨科外科医生评估了手术后的X射线 (在48小时内) 和手术内光镜,以减少质量和植入物放置的准确性.
- 在手术后一周内记录了护理的变化.
主要成果:
- 在53.9%的病例中使用了早期的术后X射线,而单独使用光镜在46.1%的病例中.
- 术内光学准确地确定了所有不完美的减少和不确定的植入物安置,这些也在术后X射线上注意到.
- 两组之间在未计划的护理变化中观察到一个小的,统计学上微不足道的差异 (3.4%对1.0%).
结论:
- 早期的术后X射线和对植入物精度的评估不是对随后的骨盆骨折和骨骨折护理变化的可靠预测因素.
- 常规的早期术后X射线可能是不必要的,这表明它们应该保留给具有明确临床迹象的病例,以提高成本效益并最大限度地减少辐射暴露.
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