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在慢性腹腔内血瘤疏散后,术后腹腔内血的发生率,预测因素和管理:基于人口的队列研究
Sophia Jansson1, Nike Halvardsson Flores1, Ali Buwaider1
1Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Acta neurochirurgica
|May 23, 2025
概括
腹腔内 (SDE) 是慢性腹腔内血瘤 (CSDH) 手术后的一种罕见并发症. 较大的CSDH直径和Cloxacillin预防会增加SDE风险,而骨切割是比洞疏散更有效的治疗方法.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 腹膜下 (SDE) 是慢性腹膜下血腫 (CSDH) 疏散后的一种严重并发症.
- 了解SDE发生率,风险因素和最佳管理对于患者的治疗结果至关重要.
研究的目的:
- 为了确定在CSDH疏散后手术后SDE的发生率.
- 为了确定与SDE发展相关的风险因素.
- 描述致病原体,并评估SDE的外科治疗策略.
主要方法:
- 对接受CSDH疏散 (2006-2022) 的患者进行回顾性查.
- 后勤回归分析以确定SDE和治疗失败的预测因素.
- 细菌分离物的分析和外科手术方法的比较 (头骨切除与洞穴).
主要成果:
- 手术后的SDE发生在1.4%的CSDH疏散中 (37/2656).
- SDE的独立预测因素包括更大的CSDH直径和Cloxacillin预防.
- 切除术比洞疏散更有效,与较低的重新手术率有关.
- 菌是最常见的病原体; 发烧往往没有.
结论:
- 较大的CSDH直径和Cloxacillin预防是SDE的重要危险因素.
- 与洞疏散相比,骨切除在SDE管理中表现出更高的有效性.
- 在患有SDE和没有SDE的患者中,一年死亡率是可比的.
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