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UBE术后引流量的相关因素分析

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目的 分析影响单侧双通道内镜技术(UBE)术后引流量的相关因素.方法 60例患者术后引流量,以引流量中位数(50 mL)为界值,分为高引流量组30例和低引流量组30例.比较两组患者性别、年龄、手术节段、合并高血压病史、合并糖尿病史、体质量指数(BMI)、长期抗凝药物治疗史、骨质疏松病史(t<2.5).结果 手术节段为L4~5(P=0.017)、BMI≥27(P=0.047)、合并高血压病史(P=0.040)与术后引流量增加显著相关.年龄≥60岁、性别、合并骨质疏松病史t<2.5,差异无统计学意义(P>0.05).结论 手术节段为L4~5、BMI≥27、合并高血压病史均为影响UBE术后引流量增加的危险因素.术前应加强对手术节段为L4~5、BMI≥27、合并高血压病史患者的医疗护理,采取必要的干预措施防治术后并发症的发生.
Objective To investigate the related factors affecting the postoperative drainage volume of unilateral biportal endoscopy(UBE).Methods 60 patients were divided into the high drainage volume group(n=30)and the low drainage volume group(n=30)based on the median drainage volume(50 mL).Sex,age,surgical segment,history of hypertension,history of diabetes mellitus,body mass index(BMI),history of long-term anticoagulant therapy and history of osteoporosis(t<2.5)were recorded and compared between the two groups.Results The increase of postoperative drainage volume was significantly correlated with L4~5(P=0.017),BMI ≥27(P=0.047),history of hypertension(P=0.040).Age ≥60 years,sex,osteoporosis history(t<2.5)showed no statistically significant differences(P>0.05).Conclusion L4~5,BMI ≥27,hypertension history are the risk factors of increasing drainage volume after UBE.The patients with L4~5,BMI ≥27 and hypertension history should be given intensive medical care before operation,and necessary intervention measures should be taken to prevent the occurrence of postoperative complications.

Lumbar spinal stenosisUnilateral biportal endoscopyDrainage volume

楼钰晗、何泽伟、张先鹏、戴鑫威、杜文喜

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310053 浙江中医药大学第一临床医学院

310003 浙江中医药大学附属第一医院(浙江省中医院)

腰椎管狭窄症 经皮单侧双通道内镜手术 引流量

国家自然科学基金

81973873

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(3)
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