外科治疗胸腰椎体畸形患者发生严重并发症的影响因素

发布时间：2018-06-17 05:16

本文选题：矫形外科学 + 手术后并发症　；参考：《重庆医学》2017年30期

【摘要】：目的探究外科治疗胸腰椎体畸形患者发生严重并发症的影响因素。方法回顾性分析2011年6月至2016年6月该院收治的164例胸腰椎体畸形患者的临床资料,所有患者均经胸腰椎体畸形矫正手术治疗,依据患者术后是否发生严重并发症将164例患者分为严重并发症组(n=18)和非严重并发症组(n=146)。分析外科治疗胸腰椎体畸形患者发生严重并发症的危险因素。结果 18例严重并发症患者中发生率较高的严重并发症为神经损伤、胸膜损伤和不愈合。Logistic多因素分析结果显示,病史长、术前存在神经损伤、最大肺活量低、手术时间长、术中出血量多、术中截骨为外科治疗胸腰椎体畸形患者发生严重并发症的危险因素(P0.05)。结论临床上应加强对病史长、术前存在神经损伤、最大肺活量低、手术时间长、术中出血量多、术中截骨的胸腰椎体畸形患者的监测,以降低术后严重并发症的发生率。
[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.
【作者单位】：青海省人民医院骨科;
【分类号】：R687.3

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