本文選題：矯形外科學(xué) + 手術(shù)后并發(fā)癥��； 參考：《重慶醫(yī)學(xué)》2017年30期

【摘要】：目的探究外科治療胸腰椎體畸形患者發(fā)生嚴(yán)重并發(fā)癥的影響因素。方法回顧性分析2011年6月至2016年6月該院收治的164例胸腰椎體畸形患者的臨床資料,所有患者均經(jīng)胸腰椎體畸形矯正手術(shù)治療,依據(jù)患者術(shù)后是否發(fā)生嚴(yán)重并發(fā)癥將164例患者分為嚴(yán)重并發(fā)癥組(n=18)和非嚴(yán)重并發(fā)癥組(n=146)。分析外科治療胸腰椎體畸形患者發(fā)生嚴(yán)重并發(fā)癥的危險(xiǎn)因素。結(jié)果 18例嚴(yán)重并發(fā)癥患者中發(fā)生率較高的嚴(yán)重并發(fā)癥為神經(jīng)損傷、胸膜損傷和不愈合。Logistic多因素分析結(jié)果顯示,病史長(zhǎng)、術(shù)前存在神經(jīng)損傷、最大肺活量低、手術(shù)時(shí)間長(zhǎng)、術(shù)中出血量多、術(shù)中截骨為外科治療胸腰椎體畸形患者發(fā)生嚴(yán)重并發(fā)癥的危險(xiǎn)因素(P0.05)。結(jié)論臨床上應(yīng)加強(qiáng)對(duì)病史長(zhǎng)、術(shù)前存在神經(jīng)損傷、最大肺活量低、手術(shù)時(shí)間長(zhǎng)、術(shù)中出血量多、術(shù)中截骨的胸腰椎體畸形患者的監(jiān)測(cè),以降低術(shù)后嚴(yán)重并發(fā)癥的發(fā)生率。
[Abstract]:Objective to investigate the influencing factors of severe complications in surgical treatment of thoracolumbar vertebral body deformity. Methods from June 2011 to June 2016, 164 patients with thoracolumbar vertebral body malformation were retrospectively analyzed. 164 patients were divided into severe complications group (n = 164) and non-severe complication group (n = 146). To analyze the risk factors of severe complications in surgical treatment of thoracolumbar vertebral body deformity. Results among the 18 patients with severe complications, the high incidence of severe complications was nerve injury, pleural injury and nonunion. Logistic multivariate analysis showed that the history of the disease was long, the nerve injury existed before operation, the maximum vital capacity was low, and the operation time was long. The intraoperative bleeding was high and osteotomy was the risk factor for serious complications in surgical treatment of thoracolumbar vertebral body deformity (P 0.05). Conclusion Clinical monitoring should be strengthened for patients with long history, nerve injury before operation, low maximal vital capacity, long operation time, more blood loss during operation, and thoracolumbar vertebral body deformity after osteotomy, so as to reduce the incidence of serious postoperative complications.
【作者單位】： 青海省人民醫(yī)院骨科;
【分類(lèi)號(hào)】：R687.3

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本文編號(hào)：2029874