在儿科脊椎外科手术中对金属过敏的查与胸腔挖掘:一个比较的队列研究
Wasim Shihab1, Alvin Jones1, Scott Emmert1
1Orthopedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
Cureus
|October 28, 2025
概括
由于选择性查,儿童金属过敏症在脊柱手术患者中可能被诊断不足. 乳房挖掘部修复的常规测试显示了更高的患病率,这表明通过标准化贴片金属过敏测试 (PMAT) 改进了检测.
科学领域:
- 整形外科手术 整形外科手术
- 过敏和免疫学 过敏和免疫学
- 儿科医学 儿科医学
背景情况:
- 金属过敏症是一种IV型延迟型过敏症,可以使骨科手术复杂化.
- 儿科脊椎形和乳房挖掘器修复使用含有常见过敏原如,和的金属植入物.
- 与成人数据相比,儿童脊柱手术中金属过敏的患病率尚未得到充分研究.
研究的目的:
- 为了比较金属过敏的患病率在小儿科患者进行脊髓融合与乳房挖掘器修复.
- 评估不同手术前查方法对金属过敏的有效性.
主要方法:
- 从2014年到2020年对儿科患者进行的回顾性队列研究.
- 脊柱队列:通过问卷进行选择性手术前查.
- 胸部队列:例行手术前的贴片金属过敏测试 (PMAT).
- 统计分析包括费舍尔的精确测试和后勤回归.
主要成果:
- 脊髓融合队列:3.3%的过敏率 (n=796,118人进行了查).
- 乳房挖掘队列:12.8%的过敏率 (n=864,815进行了查).
- 脊柱患者的阳性金属过敏率显著降低 (OR=0.23,p<0.0001).
结论:
- 脊柱患者的过敏率较低,可能是由于选择性查,而不是真正的流行率.
- 胸部患者的常规PMAT表明在脊椎手术中潜在的诊断不足.
- 改进脊柱手术的查标准可能会提高检测率.
关键词:
青少年 青少年 青少年 青少年金属过敏对金属的过敏金属过敏性过敏性过敏性这是一个nuss程序.胸部挖掘器 (pectus excavatum) 是一个挖掘器.儿科脊柱手术 儿科脊柱手术在 preop 查中进行查.脊柱融合是指脊柱的融合.更多相关视频
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