基于性别的差异手术稳定结果的肋骨骨折在形创伤患者的性别差异
Negaar Aryan1, Sebastian Dominik Schubl1, Jeffry Nahmias1
1University of California Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, CA, USA.
The American surgeon
|December 18, 2025
概括
与女性相比,男性更频繁地接受肋骨骨折 (SSRF) 手术稳定,面临更高的呼吸道并发症和死亡风险,尽管受伤严重程度相似. 这些结果突出了创伤恢复中的潜在基于性别的生理差异.
科学领域:
- 创伤外科手术是什么
- 胸部创伤 胸部创伤
- 外科手术的结果
背景情况:
- 肋骨骨折呈现和恢复的性别差异可能会影响肋骨骨折 (SSRF) 外科稳定结果.
- 男性的胸壁肌肉较大可能需要更高能量的创伤,增加呼吸道并发症的风险.
研究的目的:
- 为了比较男性和女性的SSRF率,体创伤患者 (BTP) 与肋骨骨折.
- 测试男性接受SSRF的比率更高,经历SSRF后更多呼吸道并发症的假设.
主要方法:
- 对创伤质量改善计划 (TQIP) 数据库 (2017-2022) 的分析,用于患有多重肋骨骨折或片段的成年BTP.
- 男性和女性SSRFBTP的比较.
- 多变量后勤回归用于评估性别作为呼吸道并发症 (无计划输管,ARDS,VAP) 的预测因素.
主要成果:
- 男人中SSRF的发病率 (3.1%) 比女性 (2.3%) 高.
- 男性的严重胸部损伤,整体呼吸道并发症 (13.0%对10.3%),ARDS,VAP和计划外输管率较高.
- 多变量分析显示,男性患呼吸道并发症 (OR 1.37) 和死亡率 (OR 1.33) 的几率增加.
结论:
- 男人接受SSRF更频繁,并经历呼吸道并发症和死亡率的风险增加,即使有可比的伤害严重性得分 (ISS).
- 观察到的差异表明,潜在的解剖学或生理学因素有助于创伤结果的性别差异.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
1.1K
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.8K
相关概念视频
01:26Flail Chest-II
488
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
488
01:24Flail Chest-I
575
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
575
01:27Fractures: Bone Repair
4.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
4.9K