相关实验视频
Updated: Sep 15, 2025

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Knee Arthrocentesis in Adults
Published on: February 25, 2022
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偶然诊断的无症状COVID-19不会增加全关节关节整形术的总并发症风险
Vaibhav R Tadepalli1, Jasraj S Raghuwanshi2, Wendy Novicoff3,4
1Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA, USA.
Arthroplasty today
|July 18, 2025
概括
在接受全膝关节 (TKA) 或关节整形手术 (THA) 的患者中,无症状的冠状病毒疾病2019 (COVID-19) 并没有显著增加主要并发症. 然而,COVID-19患者的死亡率和特定不良事件的高,保证了谨慎的手术决策.
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
- 公共卫生 公共卫生
背景情况:
- 无症状的冠状病毒疾病2019 (COVID-19) 对全膝关节整形术 (TKA) 和全关节整形术 (THA) 后的结果的影响尚不清楚.
- 对COVID-19的外科查已成为标准实践,但对选择性骨科手术的影响仍然令人担忧.
研究的目的:
- 对接受初级TKA或THA的患者进行90天的术后结果的调查,这些患者对无症状的COVID-19进行了查,结果呈阳性.
- 为了比较COVID-19阳性患者和匹配的对照之间的并发症率,资源利用率和功能恢复.
主要方法:
- 对2020年至2022年间接受初级TKA或THA治疗的患者进行了回顾性审查.
- 无症状的COVID-19阳性病例与年龄和性别匹配的对照进行了比较,分析了90天的并发症,住院资源和功能结果.
- 统计分析包括t测试和费舍尔的精确测试,显著程度为α = 0.01.
主要成果:
- 虽然在COVID-19患者中没有观察到主要或血栓栓塞并发症的统计显著增加,但这个群体确实经历了较高的死亡率,缺血性中风,肺栓塞和深静脉血栓症.
- 两组之间没有在入院时间,物理治疗需求,实验室值,非家庭出院率或移动性结果方面发现显著差异.
- 该研究确定了与外科手术期间无症状的COVID-19相关的特定风险,尽管对于所有测量的并发症都没有达到统计学意义.
结论:
- 根据目前的统计值,外科手术期间无症状的COVID-19似乎不会显著增加TKA或THA后重大并发症的风险.
- 关节整形外科医生应对COVID-19阳性患者的潜在死亡率和发病率保持警.
- 共享决策,包括讨论手术推迟至关重要,特别是在患有并发病症的患者中.
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