创伤切除术后的排水是否与器官空间外科手术部位感染有关?
Stephanie Martinez Ugarte1,2,3, Mokunfayo O Fajemisin1,2,3, Seokhun Kim4
1Center for Translational Injury Research, Department of Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA.
Surgical infections
|December 12, 2025
概括
在创伤脊髓切除术后的左上象限 (LUQ) 排水可能会增加器官空间手术部位感染 (OS-SSI) 的风险. 需要进一步的研究,包括随机对照试验,以证实这些发现并指导临床实践.
科学领域:
- 创伤外科 手术 创伤外科
- 外科手术的结果
- 传染性疾病 传染性疾病
背景情况:
- 在创伤脊髓切除术后使用左上象限 (LUQ) 下水道尚未标准化.
- 目前关于LUQ排水与器官空间手术部位感染 (OS-SSI) 等并发症之间的关联的数据有限.
研究的目的:
- 在创伤患者的脊髓切除术后,调查LUQ排水位置和OS-SSI之间的关联.
- 测试LUQ排水增加创伤脊髓切除术后OS-SSIs的风险的假设.
主要方法:
- 对接受脊髓切除术的成年重创伤患者的回顾性研究 (7/2018-6/2024).
- 排除标准:存活率<手术后5天,手术内胰腺损伤.
- 使用治疗权重的逆概率 (IPTW) 和多变量逻辑回归来分析数据.
主要成果:
- 在179名患者中,27%的患者接受了LUQ排水.
- LUQ排水与OS-SSIs的调整后几率显著增加有关 (aOR 5.6,p ≤ 0.01).
- 胰腺发生在7名患者中,所有患者都有LUQ排水.
结论:
- 对于形创伤的脊髓切除术后的LUQ排水与OS-SSIs的更高风险有关.
- 该研究强调了潜在的风险,但承认由于未测量的混因素造成的局限性.
- 建议进行随机对照试验,以最终评估LUQ排水的风险和益处.
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