经过形腰椎体融合后手术后骨髓的危险因素:一项回顾性研究
Si Chen1, Wenjie Wu1, Xiaojing Si1
1Department of Orthopaedics, Affiliated Banan Hospital of Chongqing Medical University, No. 659 Yunan Avenue, Longzhouwan Street, Chongqing, 401320, China.
Journal of orthopaedic surgery and research
|December 5, 2025
概括
焦虑,开放性手术,患者控制的止痛,以及过度的液体给药是手术后的关键风险,因为经过跨腰部体融合后的术后阴囊. 这些因素增加了并发症和住院时间.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 胃肠道手术 胃肠道手术
- 麻醉学 麻醉学
背景情况:
- 跨腰椎体间融合 (TLIF) 是一种常见的脊柱手术.
- 手术后阴道 (POI) 是一种已知的并发症,但在TLIF之后,其具体风险需要进一步调查.
研究的目的:
- 为了确定在TLIF之后手术后阴茎 (POI) 的独立风险因素.
- 分析TLIF手术后与POI相关的不良影响.
主要方法:
- 在2018年1月至2024年12月期间,448名接受TLIF治疗的患者的回顾性分析.
- 根据术后72小时内胃肠道症状,患者被分为POI和非POI组.
- 多变量后勤回归确定了独立的风险因素和不良结果.
主要成果:
- 在TLIF后的POI发生率为8.04% (36/448名患者).
- 对POI的独立风险因素包括焦虑障碍,开放的TLIF (O-TLIF),患者控制的镇痛 (PCA) 和过度的晶体液体给药 (>35毫升/千克/天在72小时内).
- POI与更长的住院时间和低蛋白质血的风险增加有关.
结论:
- 焦虑障碍,O-TLIF,PCA使用和过度的术后液体给药是TLIF后POI的重要独立风险因素.
- 管理这些因素可能有助于减少TLIF患者POI的发生率和影响.
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