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与全膝关节整形手术日间手术失败相关的风险因素多变量逻辑回归分析

Pan Luo¹, Jiabin Feng¹, Yankun Li¹

¹Department of Orthopaedic Surgery, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.

Frontiers in surgery

|July 11, 2025

概括

疾病持续时间较长,膝盖运动有限,功能下降增加了经过全膝关节整形手术后延迟排泄的风险. 外科医生应该优化患者选择和手术规划,以改善结果.

科学领域:

整形外科整形外科整形外科
腎臟病學 (nephrology) 是一種醫學專業.
老年病的医生老年病的医生

背景情况:

全膝关节整形手术 (TKA) 的日间手术旨在有效恢复患者.
在TKA患者中,延迟出院可能会增加医疗费用并降低患者满意度.
识别风险因素对于优化TKA日间手术方案至关重要.

研究的目的:

分析在接受TKA日间手术的患者中与延迟出院相关的风险因素.
为改善患者选择和有针对性的干预提供基础.
为了管理TKA日间手术患者的期望和降低风险.

主要方法:

对233名接受TKA日间手术的患者进行了回顾性分析.
患者分为正常出院 (≤48小时) 和延迟出院 (>48小时) 组.
单变量和多变量逻辑回归分析确定了风险因素.

主要成果:

在233名患者中,有82名患者经历了延迟出院.
延迟排泄的独立风险因素包括较长的疾病持续时间,膝盖屈曲运动范围的限制,较低的膜过率和较长的手术时间.
延迟的常见原因包括疼痛,胀,恶心,吐和心理社会因素.

结论:

疾病持续时间,膝盖曲,淋巴膜过率和手术时间是延迟TKA日手术排泄的关键预测因素.
疾病持续时间>8年,曲率<90°或GFR低的患者可能不是TKA日间手术的理想候选人.
优化手术前评估,手术技术和缩短手术时间可以最大限度地减少延迟出院.

关键词:

一天的手术手术.延迟放电延迟的放电关节关节整形术 (joint arthroplasty) 是一个关节整形术.膝关节关节的关节是什么?有关风险因素的风险因素.

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