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Outcome and survival analysis of pulmonary metastasectomy for primary sarcoma with pulmonary metastases. 原发性肉瘤伴肺部转移的肺转移切除术的结果和存活率分析。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1470784
Chih-Hsiang Chang, Xu-Heng Chiang, Mong-Wei Lin, Shuenn-Wen Kuo, Pei-Ming Huang, Hsao-Hsun Hsu, Jin-Shing Chen

Background: Sarcomas are rare malignancies, accounting for approximately 1% of all cancers. Pulmonary metastases are the most preferential site for distant metastasis in malignant soft tissue sarcomas. Despite the lack of evidence from large randomized trials to support treatment guidelines, surgical resection of resectable metastatic tumors remains the current standard of care. This study aimed to explore the survival status of patients with soft tissue sarcoma after resection of pulmonary metastases.

Methods: This study is a retrospective analysis of patients who mestastasectomy by means of lobar or sublobar resections at National Taiwan University Hospital and its branches. The statistical and investigation period was from February 2007 to December 2020.

Results: Among 110 samples during the investigation period, the overall 5-year survival rate was 62.9%, which was higher than the 15%-50.9% reported previously. A disease-free interval of more than 12 months and the occurrence of local recurrence of sarcoma at the time of resection of pulmonary metastases are associated with overall survival. Most of the samples were treated with minimally invasive surgery (VATS), and therefore, most patients had a shorter hospital stay and better postoperative recovery.

Conclusion: For pulmonary metastatic sarcoma, pulmonary metastasectomy is a relatively safe treatment method with short hospital stay and short ICU stay. The results of this study suggest that VATS is preferred over thoracotomy, but further observations are needed to confirm these findings.

背景:肉瘤是一种罕见的恶性肿瘤,约占所有癌症的 1%。肺转移是恶性软组织肉瘤远处转移的首选部位。尽管缺乏大型随机试验的证据来支持治疗指南,但手术切除可切除的转移性肿瘤仍是目前的治疗标准。本研究旨在探讨切除肺转移灶后软组织肉瘤患者的生存状况:本研究是一项回顾性分析,对象为在台湾大学医院及其分院接受肺叶或肺叶下切除术的转移瘤患者。统计和调查时间为 2007 年 2 月至 2020 年 12 月:在调查期间的 110 个样本中,总体 5 年生存率为 62.9%,高于之前报告的 15%-50.9% 的水平。无病间隔期超过12个月以及切除肺转移灶时肉瘤局部复发与总生存率有关。大多数样本采用微创手术(VATS)治疗,因此,大多数患者的住院时间较短,术后恢复较好:结论:对于肺转移性肉瘤,肺转移瘤切除术是一种相对安全的治疗方法,住院时间短,入住重症监护室时间短。结论:对于肺转移肉瘤,肺转移切除术是一种相对安全的治疗方法,住院时间短,重症监护室停留时间短。本研究结果表明,VATS 比开胸术更受欢迎,但还需要进一步观察来证实这些结果。
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引用次数: 0
Machine learning perioperative applications in visceral surgery: a narrative review. 内脏外科围手术期的机器学习应用:综述。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1493779
Intekhab Hossain, Amin Madani, Simon Laplante

Artificial intelligence in surgery has seen an expansive rise in research and clinical implementation in recent years, with many of the models being driven by machine learning. In the preoperative setting, machine learning models have been utilized to guide indications for surgery, appropriate timing of operations, calculation of risks and prognostication, along with improving estimations of time and resources required for surgeries. Intraoperative applications that have been demonstrated are visual annotations of the surgical field, automated classification of surgical phases and prediction of intraoperative patient decompensation. Postoperative applications have been studied the most, with most efforts put towards prediction of postoperative complications, recurrence patterns of malignancy, enhanced surgical education and assessment of surgical skill. Challenges to implementation of these models in clinical practice include the need for more quantity and quality of standardized data to improve model performance, sufficient resources and infrastructure to train and use machine learning, along with addressing ethical and patient acceptance considerations.

近年来,人工智能在外科手术领域的研究和临床应用大幅增加,其中许多模型都是由机器学习驱动的。在术前环境中,机器学习模型已被用于指导手术适应症、手术的适当时机、风险计算和预后,以及改进手术所需时间和资源的估算。已证实的术中应用包括手术区域的可视化注释、手术阶段的自动分类以及术中病人失代偿的预测。对术后应用的研究最多,主要集中在预测术后并发症、恶性肿瘤复发模式、加强手术教育和评估手术技能等方面。在临床实践中实施这些模型所面临的挑战包括:需要更多数量和质量的标准化数据来提高模型性能,需要足够的资源和基础设施来训练和使用机器学习,同时还要解决道德和患者接受度方面的问题。
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引用次数: 0
Effects of different hinge positions on tibial rotation in uniplanar medial opening wedge high tibial osteotomy with three-dimensional tibial models. 使用三维胫骨模型进行单平面内侧开口楔形高胫骨截骨术时,不同铰链位置对胫骨旋转的影响。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1441777
Lizhong Jing, Yulian Ren, Shaoshan Wang, Jiushan Yang, Jian Wang

Background: To investigate the effects of different hinge positions in the sagittal and axial planes on distal tibial rotation (DTR) during medial opening wedge high tibial osteotomy (MOWHTO) with three-dimensional tibial models.

Methods: Preoperative CT data from 30 knee joints in 30 patients who underwent surgery for varus malalignment of knee were included. 1 standard hinge position (0°), 6 axial planes (±5°, ±10°, ±15°), and 6 sagittal planes (±5°, ±10°, ±15°) hinge positions were defined and virtual uniplanar osteotomy was performed. The correction angle of each model was generated using Fujisawa's point. Participants' baseline characteristics, radiologic parameters and DTR were measured. One-Way Repeated Measures ANOVA and single factor linear regression analysis were used to analyze the association between tibial rotation and hinge position in the sagittal and axial planes.

Results: We found a clear linear correlation between changes in hinge position in the sagittal plane and DTR. The changes in DTR were the smallest when the hinge position was at 5°, where internal or external rotation of the DTR may occur. When the front aspect of hinge axis rotated distally, DTR tended towards internal. Meanwhile, when the front aspect of hinge axis rotated proximally, DTR tended towards external. There were no correlations with every hinge axis position in the axial plane.

Conclusions: It is sagittal but not axial hinge axis affects DTR in uniplanar MOWHTO with three-dimensional tibial models. In the sagittal plane, every change in hinge position was significantly linearly correlated with DTR. However, no linear correlations were observed between every hinge position change in the axial plane.

背景:利用三维胫骨模型研究矢状面和轴向不同铰链位置对胫骨内侧开放楔形高位截骨术(MOWHTO)中胫骨远端旋转(DTR)的影响:方法:纳入因膝关节内翻错位而接受手术的 30 名患者的 30 个膝关节的术前 CT 数据。定义 1 个标准铰链位置(0°)、6 个轴向平面(±5°、±10°、±15°)和 6 个矢状平面(±5°、±10°、±15°)铰链位置,并进行虚拟单平面截骨。每个模型的矫正角度都是使用藤泽点生成的。测量参与者的基线特征、放射学参数和 DTR。采用单向重复测量方差分析和单因素线性回归分析来分析胫骨旋转与铰链位置在矢状平面和轴向平面上的关联:我们发现矢状面铰链位置的变化与DTR之间存在明显的线性相关。当铰链位置为5°时,DTR的变化最小,此时DTR可能发生内旋或外旋。当铰链轴前端向远端旋转时,DTR倾向于内旋。同时,当铰链轴前端向近端旋转时,DTR 倾向于外旋。在轴向平面上,铰链轴的每个位置都没有相关性:结论:在使用三维胫骨模型进行单平面 MOWHTO 时,影响 DTR 的是矢状面铰链轴,而非轴向铰链轴。在矢状面上,铰链位置的每一个变化都与 DTR 呈显著线性相关。然而,在轴向平面上,铰链位置的每次变化都没有线性关系。
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引用次数: 0
Cost-consequence analysis of the enhanced recovery after surgery protocol in major lung resection with minimally invasive technique (VATS). 微创技术(VATS)肺大部切除术中术后恢复强化方案的成本后果分析。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1471070
Alessandra Buja, Giuseppe De Luca, Stefano Dal Moro, Marco Mammana, Anna Zanovello, Stefano Miola, Deris Gianni Boemo, Ilaria Storti, Pietro Bovo, Fabio Zorzetto, Marco Schiavon, Federico Rea

Background: ERAS is an evidence-based multimodal perioperative protocol focused on stress reduction and promoting a return to function. The aim of this work is to perform a cost-consequence analysis for the implementation of ERAS in major lung resection by means of minimally invasive surgery (VATS) from the public health service perspective, evaluating resource consumption and clinical outcomes with respect to a control group of past patients, which did not adopt an ERAS protocol.

Methods: Outcome differences (re-intervention rates, major and minor intraoperative and postoperative complications, readmissions, and mortality) as well as the costs of preoperative, operative, and postoperative care were estimated. The sample consisted of 64 consecutive patients enrolled in the ERAS programme between April 2021 and August 2022, compared to a control group (historical cohort) comprising 31 patients treated from April 2020 to December 2020, prior to the implementation of the ERAS programme. The study sample comprises patients who fulfil the established ERAS protocol inclusion criteria, including general criteria (acceptance of the protocol, proximity of residence, absence of contraindications to physiotherapy and early mobilisation), surgical criteria (anatomical lung resection up to lobectomy, absence of extensive resection, good possibility of conducting the operation in VATS) and anaesthesiologic criteria (ASA ≤2). Costs were quantified using the national health system perspective.

Results: The average length-of-stay was at least one day shorter in the ERAS group [<0.001. Average total costs including entire pathway healthcare costs were substantially reduced for ERAS-VATS patients (mean: € 5,955.71 vs. €6,529.41 Δ = -573.70 p = 0.018)]. Specifically, the median costs of the admission phase were significantly different between the two groups (median: €4,648.82 vs. €5,596.58, p = 0.008), with a reduction in hospital stay expenditure in the ERAS-VATS group (median: €1,599.62 vs. €2,399.43, p = 0.025). No significant differences were found regarding major clinical outcomes.

Conclusions: The implementation of an ERAS programme is a dominant strategy, representing an intervention capable of reducing overall costs in the context of elective anatomical lung resection with VATS without any significant differences in major complications and re-intervention rates.

背景:ERAS 是一种以证据为基础的多模式围手术期方案,重点是减轻压力和促进功能恢复。这项工作的目的是从公共卫生服务的角度,对在微创手术(VATS)肺大部切除术中实施ERAS进行成本-后果分析,评估与未采用ERAS方案的过往患者对照组相比的资源消耗和临床结果:方法:对结果差异(再介入率、术中和术后主要和次要并发症、再入院率和死亡率)以及术前、术中和术后护理成本进行了估算。样本包括在2021年4月至2022年8月期间连续参加ERAS计划的64名患者,对照组(历史队列)包括在ERAS计划实施前的2020年4月至2020年12月期间接受治疗的31名患者。研究样本包括符合既定ERAS方案纳入标准的患者,包括一般标准(接受方案、居住地就近、无理疗禁忌症和早期活动能力)、手术标准(解剖学肺切除至肺叶切除、无大范围切除、VATS手术可能性大)和麻醉标准(ASA≤2)。结果显示,平均住院时间为2.5天:结果:ERAS 组的平均住院时间至少缩短了一天[p = 0.018]。具体而言,两组入院阶段的费用中位数有显著差异(中位数:4648.82 欧元对 5596.58 欧元,p = 0.008),ERAS-VATS 组的住院费用有所减少(中位数:1599.62 欧元对 2399.43 欧元,p = 0.025)。在主要临床结果方面没有发现明显差异:结论:实施ERAS计划是一种主要策略,代表了一种能够降低VATS择期解剖性肺切除术总成本的干预措施,且在主要并发症和再介入率方面无明显差异。
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引用次数: 0
Case Report: Postoperative ascites: allergic reaction to the drainage tube in a 12-year-old patient. 病例报告:术后腹水:一名 12 岁患者对引流管的过敏反应。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1409673
Ren-Sen Jiang, Jing Lao, Huan-Sheng Wang, Miao-Bing Wu, Bing Wang, Jian-Yao Wang

Allergic reaction to the silicone is rare in children and as a result very little experience has been reported on symptom and treatment. We presented a case involving a child who experienced prolonged ascites following a surgery of placing an abdominal drainage tube, characterized by the ongoing drainage of clear, light-yellow fluid at a rate of 250 mL/day through the drainage tube for 36 days. Examination of the ascitic fluid revealed an abnormal elevation in eosinophil proportion, which exhibited positive response to anti-allergic treatment. Subsequent to the removal of the drainage tube, the ascites gradually resolved. In conclusion, we presented here the first and youngest case of allergic ascites associated with drainage tube after surgery of ovarian mucinous cystadenoma, it is imperative not to overlook the possibility of drainage tube allergy in the diagnostic process.

儿童对硅胶的过敏反应非常罕见,因此有关症状和治疗方法的报道非常少。我们介绍了一个病例,该患儿在接受腹腔引流管置入手术后出现了长时间腹水,其特点是引流管不断排出浅黄色透明液体,每天 250 毫升,持续 36 天。腹水检查显示嗜酸性粒细胞比例异常升高,对抗过敏治疗呈阳性反应。拔除引流管后,腹水逐渐消退。总之,我们在此介绍了第一例也是最年轻的一例卵巢粘液性囊腺瘤术后引流管相关过敏性腹水病例,在诊断过程中切勿忽视引流管过敏的可能性。
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引用次数: 0
Corrigendum: Clinical efficacy of unilateral laminotomy for bilateral decompression in the treatment of adjacent segment disease after lumbar fusion. 更正:单侧椎板切开术治疗腰椎融合术后邻近节段疾病的临床疗效。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1499570
Yun Xu, Yang Liu, Ding Ding, Bin Ru, Quan Wan, Zhongwei Ji, Wenlong Liu, Ran Guo, Jiaqi Hu, Nannan Zhang, Langhai Xu, Shun Li, Wenjun Cai

[This corrects the article DOI: 10.3389/fsurg.2024.1449838.].

[此处更正了文章 DOI:10.3389/fsurg.2024.1449838]。
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引用次数: 0
Unilateral biportal endoscopic vs. open surgery in the treatment of young obese patients' lumbar degenerative diseases: a retrospective study. 治疗年轻肥胖患者腰椎退行性疾病的单侧双侧内窥镜手术与开放手术:一项回顾性研究。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1467768
Tao Ma, Junyang Li, Yongcun Geng, Dengming Yan, Ming Jiang, Xiaoshuang Tu, Senlin Chen, Jingwei Wu, Luming Nong

Background: Obesity accelerates the development of lumbar disease and increase the risk during surgery. Unilateral biportal endoscopic discectomy (UBE) is a newly developed minimally invasive technique, which refers to the spinal surgery under unilateral double-channel endoscopic surgery. Therefore, the purpose of this study is whether UBE decompression alone can bring good clinical results to young obese patients with lumbar degenerative diseases.

Methods: The patients with lumbar diseases who underwent UBE and open surgery (open discectomy) in our hospital from February 2020 to February 2022 were selected as young (age ≤ 44 years old) and obesity (BMI ≥ 30 kg/m2). The patients were evaluated with VAS, ODI, JOA and modified Macnab score before operation, 1 month, 6 months and 12 months after operation. Nerve root function sensation, muscle strength and tendon reflex were evaluated. The operation time, estimated blood loss, postoperative hospital stay, incidence of postoperative complications and reoperation rate were recorded. MRI quantitative lumbar multifidus muscle (LMM) comparison was performed 12 months after operation.

Results: 77 patients were included, and the scores of VAS, ODI and JOA were similar in the two groups during the last follow-up. There were no difference in nerve root function sensation, muscle strength or tendon reflex. However, one month after operation, the VAS back score and ODI improvement in the UBE group were significantly better than those in the open group, which were 2.44 ± 0.97, 33.10 ± 6.78 and 2.93 ± 0.79 and 36.13 ± 5.84, respectively, with a statistically significant difference (p = 0.020 and 0.038). According to the modified Macnab criteria, UBE group, the excellent and good rate was 97.2%. The excellent and good rate of open group was 97.6%. The estimated blood loss and postoperative hospital stay in UBE group (36.81 ± 17.81, 3.92 ± 1.32) were significantly better than those in open group (104.88 ± 31.41, 6.41 ± 1.94), with a statistically significant difference (p = 0.010). There was no significant difference in operation time between the two groups (p = 0.070). The number of complications in UBE group was 2 (5.6%) and open group was 4 (9.8%). The fat infiltration rate of 19.3%+11.0% in UBE group was significantly lower than that of 27.0%±13.9% in open group (p = 0.010).

Conclusion: UBE has the advantage of early recovery in the treatment of lumbar degenerative diseases in young obese patients, and reduces the damage to LMM, so it has a good clinical effect.

背景:肥胖会加速腰椎疾病的发展,增加手术风险。单侧双通道内窥镜椎间盘切除术(UBE)是一种新开发的微创技术,是指在单侧双通道内窥镜下进行的脊柱手术。因此,本研究的目的是探讨单纯 UBE 减压术能否为年轻肥胖的腰椎退行性疾病患者带来良好的临床效果:选取 2020 年 2 月至 2022 年 2 月在我院接受 UBE 和开放手术(开放椎间盘切除术)的腰椎疾病患者,均为年轻(年龄小于 44 岁)、肥胖(体重指数≥ 30 kg/m2)。术前、术后 1 个月、6 个月和 12 个月分别对患者进行 VAS、ODI、JOA 和改良 Macnab 评分。对神经根功能感觉、肌力和腱反射进行了评估。记录了手术时间、估计失血量、术后住院时间、术后并发症发生率和再次手术率。术后 12 个月进行磁共振定量腰多裂肌对比:两组患者在最后随访期间的 VAS、ODI 和 JOA 评分相似。两组患者的神经根功能感觉、肌力和腱反射无差异。然而,术后一个月,UBE 组的 VAS 背部评分和 ODI 改善情况明显优于开放组,分别为 2.44 ± 0.97、33.10 ± 6.78 和 2.93 ± 0.79、36.13 ± 5.84,差异有统计学意义(P = 0.020 和 0.038)。根据改良的 Macnab 标准,UBE 组的优和良率为 97.2%。开腹组的优和良率为 97.6%。UBE 组的估计失血量和术后住院时间(36.81 ± 17.81,3.92 ± 1.32)明显优于开腹组(104.88 ± 31.41,6.41 ± 1.94),差异有统计学意义(P = 0.010)。两组手术时间无明显差异(P = 0.070)。UBE 组发生并发症 2 例(5.6%),开放组发生并发症 4 例(9.8%)。UBE组的脂肪浸润率为19.3%+11.0%,明显低于开腹组的27.0%±13.9%(P = 0.010):结论:UBE在年轻肥胖患者腰椎退行性疾病的治疗中具有早期恢复的优势,并减少了对LMM的损伤,临床效果良好。
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引用次数: 0
One-stage surgery by a halo-vest to treat simultaneous double spine fractures-dislocation in a patient with ankylosing spondylitis: case report and review of literature. 强直性脊柱炎患者同时发生双脊柱骨折-脱位的光环固定一期手术:病例报告和文献综述。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1383550
Liang Wang, Youcai Qiu, Can Wang, Tielong Liu, Xuhua Lu

Study design: A case report.

Background: In this study, we report the outcome of one-stage surgery using a halo-vest to treat simultaneous double spine fractures-dislocation in a patient with ankylosing spondylitis (AS).

Case presentation: We report a case of a 57-year-old male patient with AS who sustained simultaneous double spine fractures due to a traffic accident. We performed an open approach after successful closed reduction using a halo-vest. At the 1-year follow-up, we finally achieved bone union after postoperative. At the 3-year follow-up visit, he reported a significant resolution of both cervical and back pain and had returned to his routine daily activities.

Conclusion: This is the first report of using a halo-vest to treat simultaneous double spine fractures-dislocation in a patient with AS. The authors included five research studies that situate this case study in the existing literature and highlight a gap in current knowledge. Based on our experience with this case and a review of the literature, one-stage surgery by a halo-vest is an effective option for the treatment of simultaneous double spine fractures-dislocation in patients with AS.

研究设计病例报告:在本研究中,我们报告了在一名强直性脊柱炎(AS)患者身上使用光环固定器一期手术治疗同时性双脊柱骨折-脱位的结果:我们报告了一例57岁的男性强直性脊柱炎患者因交通事故导致双脊柱同时骨折的病例。在使用光环固定器成功进行闭合复位后,我们为患者实施了开放手术。在 1 年的随访中,我们终于在术后实现了骨结合。3 年随访时,他报告说颈椎和背部疼痛明显缓解,并恢复了日常活动:这是第一份使用光环固定器治疗强直性脊柱炎患者同时发生的双脊柱骨折-脱位的报告。作者纳入了五项研究,将本病例研究置于现有文献中,并强调了当前知识的空白。根据本病例的经验和文献综述,使用光环固定器进行一期手术是治疗强直性脊柱炎患者同时双脊柱骨折-脱位的有效方法。
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引用次数: 0
Editorial: Seizures in brain tumors. 社论:脑肿瘤的癫痫发作
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1504572
Mohammad Mofatteh, Saman Arfaie, Mohammad Sadegh Mashayekhi, Phillip L Pearl, Sunit Das, Aaron Cohen-Gadol
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引用次数: 0
Percutaneous hollow nail internal fixation treatment for fractures of the pubic symphysis and its adjacent areas. 耻骨联合及其邻近区域骨折的经皮空心钉内固定治疗。
IF 1.6 4区 医学 Q2 SURGERY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fsurg.2024.1400834
Zhang Ping

Purpose: To explore the percutaneous minimally invasive treatment of pubic symphysis and its adjacent fractures.

Method: Since May 2021, 13 cases of fractures involving the pubic symphysis and its adjacent parts were treated with x-ray fluoroscopic localization and percutaneous cannulated screw fixation across the symphysis pubis, the guide pin pierced the symphysis pubis and the fracture end and stopped at the inner edge of the acetabulum. Visual analogue scale (VAS) was used to evaluate the effect of the operation, and the patients were followed up.

Result: The screw insertion operation time was 25-40 min, with an average of 31.45 min; The number of perspectives is 20-40, with an average of 28.75. The average intraoperative blood loss was 10 ml, and there were no puncture complications such as nerve or vascular damage. The initial stability of the fractured end of the patient after surgery was good. The VAS score decreased from preoperative 8-10 points to postoperative 1-2 points (average of 1.5 points). The follow-up time was 3-25 months, with an average of 8.5 months. At the last follow-up, the excellent and good rate of pelvic function according to Majeed pelvic function scoring system was 100%. One patient had screws removed 1.5 years after surgery, while the remaining twelve patients did not have screws removed. All patients did not experience any discomfort symptoms caused by pubic symphysis fixation.

Conclusion: Percutaneous hollow nail internal fixation is an effective method for treating fractures of the pubic symphysis and its adjacent parts.

目的:探讨经皮微创治疗耻骨联合及其邻近部位骨折的方法:自2021年5月起,对13例耻骨联合及其邻近部位骨折患者采用X线透视定位,经皮插管螺钉跨耻骨联合固定治疗,导针穿透耻骨联合及骨折端,止于髋臼内缘。采用视觉模拟量表(VAS)评估手术效果,并对患者进行随访:螺钉插入手术时间为 25-40 分钟,平均 31.45 分钟;观察次数为 20-40 次,平均 28.75 次。术中平均失血量为 10 毫升,无神经或血管损伤等穿刺并发症。术后患者骨折端初期稳定性良好。VAS 评分从术前的 8-10 分降至术后的 1-2 分(平均 1.5 分)。随访时间为 3-25 个月,平均 8.5 个月。最后一次随访时,根据 Majeed 骨盆功能评分系统,骨盆功能优良和良好率为 100%。一名患者在术后 1.5 年拆除了螺钉,其余 12 名患者没有拆除螺钉。所有患者均未因耻骨联合固定而出现任何不适症状:结论:经皮空心钉内固定术是治疗耻骨联合及其邻近部位骨折的有效方法。
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引用次数: 0
期刊
Frontiers in Surgery
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