裂唇修复后感染,脱和无计划的再输管的危险因素
Aidin Gharavi1, Elizabeth B Habermann2, Stephanie F Polites3,4
1Mayo Clinic Alix School of Medicine, Rochester, MN, USA.
概括
这项研究分析了超过11000次口唇裂纹修复 (CLR). 双边裂唇解剖学和更长的麻醉时间增加了手术部位感染,而双边裂唇也增加了伤口脱光风险.
科学领域:
- 儿科手术 儿科手术
- 整形外科 整形外科 整形外科
- 手术结果研究研究.
背景情况:
- 唇裂修复 (CLR) 是一个常见的儿科手术程序.
- 了解术后并发症因素对于改善患者的治疗结果至关重要.
- 国家外科质量改进计划-儿科 (NSQIP-P) 数据库为此类分析提供了有价值的数据.
研究的目的:
- 为了确定与手术后并发症相关的因素,初级裂唇修复 (CLR).
- 分析手术部位感染 (SSI) 的发生率,伤口脱光和在CLR后30天内无计划的再灌输.
- 为了确定裂解剖学和麻醉时间对这些并发症的影响.
主要方法:
- 利用NSQIP-P数据库识别了11957名经过CLR的12个月以下的患者.
- 进行多变量分析以评估并发症和相关的并发症.
- 专注于包括手术部位感染 (SSI),伤口脱光和无计划的再输管等结果.
主要成果:
- 手术部位感染 (SSI) 发生在0.6%的病例中,与双边裂唇和更长的麻醉时间有关.
- 伤口脱光发生在0.4%的患者中,与双边裂唇和更短的麻醉持续时间有关.
- 无计划的再灌输 (占病例的0.2%) 与较高的多重并发病率有关.
结论:
- 手术后的并发症,如SSI,伤口脱光和计划外的再灌管,在CLR后很少发生.
- 双边裂唇解剖症患者的SSI和伤口脱光风险显著增加.
- 麻醉时间和患者的并发症是影响CLR并发症率的重要因素.
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