非手术对手术治疗儿科类型1开口骨折的非手术对比
Kevin Schauer1, Dylan Lis1, Ellen Lutnick2
1University at Buffalo, State University New York, Buffalo, USA.
概括
非手术治疗对于儿科I型开口骨折是安全和有效的,比手术更少出现并发症和住院. 这种方法避免了与手术治疗相关的麻醉风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤外科 手术 创伤外科
- 基于证据的医学基于证据的医学.
背景情况:
- 儿科I型开口骨折需要仔细治疗,以尽量减少并发症.
- 以前的分析表明,非操作性管理可能是可行的,但需要进一步的比较.
研究的目的:
- 为了比较小儿I型开口骨折的手术与非手术治疗结果.
- 评估并发症,入院状态和非手术管理的安全性.
主要方法:
- 儿科I型开放骨折的回顾性图表审查 (2000-2020年).
- 非手术 (IV抗生素,封闭降低,固定) 与手术 (I&D,ORIF) 管理的比较.
- 对人口统计,抗生素,住院和并发症的统计分析.
主要成果:
- 非手术组的住院次数较少 (25%对71.1%) 和整体并发症较少 (p=0.037).
- 操作组显示了较高的切口感染,深层感染和再入院率.
- 在非手术组中,减少的损失更频繁,而在手术组中发生了折断/植入后骨折.
结论:
- 非手术治疗是小儿I型开口骨折的安全有效选择.
- 这种方法减少了住院的数量,并消除了麻醉相关的风险.
- 支持非手术治疗作为适合病例的主要策略.
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