脊椎骨髓炎的术后结果和并发症:系统审查和元分析
Asimina Dominari1, Giorgos D Michalopoulos1, Konstantinos Katsos1
1Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
概括
脊椎骨髓炎 (VO) 的有效治疗方法是体外切除术,在大多数患者中显著改善神经功能. 这种手术方法表明并发症和感染复发的风险较低,强调了其安全性和有效性.
科学领域:
- 脊椎手术
- 感染性疾病
- 神经外科
背景情况:
- 脊椎骨髓炎 (VO) 通常需要除了保守治疗外进行手术.
- 肉体切除术是一种激进的手术除菌技术,用于控制VO.
研究的目的:
- 评估体外切除对VO的有效性.
- 评估的主要结果包括神经改善,融合率和感染复发.
主要方法:
- 一个系统的文献搜索发现了有关VO体外切除的相关研究.
- 采用随机效应模型的元分析,以神经改善为主要终点.
- 分组分析基于解剖位置和子类型的变化.
主要成果:
- 对44项研究 (140名患者) 的分析显示神经改善率为71. 8%.
- 手术前的神经缺陷很常见 (78.4%),特别是在椎.
- 感染复发率低 (2. 9%) 和修复手术率低 (5%),整体并发症为10. 4%.
结论:
- 切口术是一种安全有效的VO治疗方法,特别是在难以接受医疗治疗或神经损伤的情况下.
- 这种手术的神经恢复率很高,并发症/复发风险很低.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
01:30Pneumonia III: Complications and Assessment
435
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
435
01:22Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
171
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
171