脊柱外科手术部位感染的预测

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-06-09 DOI:10.14531/SS2018.2.84-90
V. M. Haydarov, A. N. Tkachenko, I. A. Kirilova, D. Mansurov
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引用次数: 3

摘要

客观的分析脊柱手术后发生手术部位感染的预后因素,并评估每种因素的评分值。材料和方法。对325例接受脊柱手术的患者的数据进行了分析。将177名接受脊柱手术但无感染性并发症的回顾性组患者的数据与术后一年内有感染性并发症局部患者的数据进行比较(36项观察)。后果这项研究创建了一个学习矩阵,该矩阵成为预防脊柱手术患者局部感染并发症的数学预测和算法的基础。确定了17个预测手术部位感染发展的标准。结论在一项前瞻性研究(112例)中,术后随访12个月,与回顾性研究组相比,手术部位感染的发生率显著降低(从16.9%降至9.8%)。
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PREDICTION OF SURGICAL SITE INFECTION IN SPINE SURGERY
Objective. To analyze prognostic factors for the development of surgical site infection following spine surgery and evaluate rating values for each of them. Material and Methods . The data on 325 patients who underwent spinal surgery were analyzed. Data on 177 patients of the retrospective group who underwent spinal surgery without infectious complications were compared with the data of patients who had local complications of infectious genesis within one year after the operation (36 observations). Results. The study resulted in creation of a learning matrix which became the basis for mathematical prediction and algorithm for the prevention of local infectious complications in patients who underwent spinal surgery. Seventeen criteria for predicting the development of surgical site infection were identified. Conclusion. Approbation of the program in a prospective study (112 cases) with a follow-up period of 12 months after surgery demonstrated significant decrease in the incidence of surgical site infection  as compared with that in the retrospective study group (from 16.9 to 9.8 %).
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
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