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当针失败时:在同一个患者身上挤出Inspire设备和关节假肢

Kalin R Sorenson¹, Cameron Robins¹, Keala Verigan²

¹Otolaryngology, Rocky Vista University College of Osteopathic Medicine, Ivins, USA.

|September 5, 2025

概括

接材料的选择对于防止植入物挤出至关重要. 这一案例凸显了特定接如何引起异物反应,甚至在没有感染的情况下导致设备挤出,强调了精心选择材料.

科学领域:

医疗器械
手术并发症
生物材料科学

背景情况:

这是一个罕见但严重的并发症.
这通常与感染,伤口愈合不良或物质不耐受有关.
阻塞性睡眠呼吸暂停 (OSA) 耐受CPAP治疗可能需要植入下神经刺激器.

研究的目的:

报告与特定接材料相关的复发性植入物挤出情况.
突出与接相关的异物反应在植入物并发症的可能性.
强调在有植入物不良反应史的患者中仔细选择 suture的重要性.

主要方法:

一个79岁的女性患者的病例报告.
检查患者病史,包括关节假肢和Inspire低神经刺激器的植入.
使用的材料 (Ethibond,Monocryl,Prolene) 的分析和临床结果.

主要成果:

患者经历了关节假肢和Inspire装置的挤出, 这两者都与Ethibond接有关.
在两个挤出事件中,感染性工作是负面的.
使用替代 (Monocryl, Prolene) 和皮肤移植成功重新植入 Inspire 装置,结果是无故障愈合.

结论:

在没有感染的复发性植入物挤出的情况下,应考虑与接有关的异物反应.
外科医生必须在选择接材料时保持警,特别是在以前有不良反应的患者中.
需要对结组织相互作用进行进一步的研究,以提高植入物安全性和实践.

关键词:

其他债券关节假肢植入物挤出启发设备的过敏性

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