在手术前注射大关节或中间关节的皮质类固醇是否与手术后软组织手术后手术部位感染有关? 一个追溯的数据库分析分析
Thompson Zhuang1, Ellis M Berns1, Mitchell Hallman1
1Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.
The Journal of hand surgery
|May 4, 2025
概括
在手术前注射皮质类固醇通常是安全的,没有增加感染或重新手术的风险. 在30天内注射大关节时,观察到伤口脱光度略有增加.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 关节内皮质类固醇注射在手部疾病中很常见.
- 这些注射对后续手术结果的潜在影响需要调查.
研究的目的:
- 为了确定手术前在遥远部位注射皮质类固醇是否会增加手术部位感染的风险,因感染而重新手术或伤口脱光.
主要方法:
- 使用国家索赔数据库进行回顾性队列研究.
- 分析了经过手腕道,触发指或DeQuervain释放的成年患者.
- 结果 (感染,重新手术,脱落) 根据之前的皮质类固醇注射的时间和关节大小进行了比较.
主要成果:
- 在大或中等关节注射时,没有发现手术部位感染或重新手术的风险增加.
- 在30天内注射大关节时,伤口脱光度略有增加.
- 在糖尿病患者中没有观察到增加的风险.
结论:
- 在手术前,对大关节和中关节的皮质类固醇注射是安全的,因为它有感染风险.
- 这些发现适用于糖尿病患者,支持这种做法的安全性.
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