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在后腰部仪器融合后手术部位感染
Kasra Araghi1, Tejas Subramanian1,2, Takashi Hirase1
1Hospital for Special Surgery, New York, NY, USA.
概括
最少侵入性手术 (MIS) 和腰部融合的其他技术显示手术部位感染 (SSI) 率较低. 虽然开放式手术的SSI率较高,但开放式,迷你开放式和MIS之间的差异没有统计学意义.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 传染病流行病学 传染病流行病学
- 最少侵入性手术的方法
背景情况:
- 微创手术 (MIS) 越来越多地被采用,因为它有可能减少手术部位感染 (SSI).
- 在腰部融合中,MIS与传统开放技术对SSI的比较影响尚未得到充分证实.
- 了解不同手术方法的感染率对于患者的治疗结果至关重要.
研究的目的:
- 为了比较手术部位感染 (SSI) 率在开放式,迷你开放式和微创手术 (MIS) 技术中.
- 为了评估在接受后腰部仪器融合的患者中SSI的发生率.
- 确定手术方法是否会影响该患者群体的SSI风险.
主要方法:
- 追溯对1382例仪器化1级或2级后腰部融合的回顾 (2019年1月 - 2022年6月).
- 患者被分为三个手术队列:MIS,迷你开放和开放.
- 使用国家医疗保健安全网络标准诊断的手术部位感染 (SSI).
主要成果:
- 整体SSI率为0.94% (13名1382名患者中的13名).
- 这些SSI的比率分别为:MIS (0.3%),迷你开放 (1.1%) 和开放 (1.3%).
- 在三个手术方法之间没有发现SSI率的统计学上显著差异,尽管在开放组观察到的比率更高.
结论:
- 后腰部仪器融合,无论手术方法,显示出异常低的整体SSI率 (0.94%).
- 虽然开放的队列显示了较高的SSI率,但样本规模不足阻止了统计学意义.
- 可能需要对更大的队列进行进一步的研究,以确定MIS,迷你开放和开放的腰部融合技术之间的SSI速率差异.
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