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遗留:手术中无意保留的异物以及如何降低其发生率——图片回顾。

Left behind: unintentionally retained surgically placed foreign bodies and how to reduce their incidence--pictorial review.

机构信息

Department of Radiology, USC University Hospital, Los Angeles, CA 90033, USA.

出版信息

AJR Am J Roentgenol. 2009 Dec;193(6 Suppl):S79-89. doi: 10.2214/AJR.09.7153.

DOI:10.2214/AJR.09.7153
PMID:19933680
Abstract

OBJECTIVE

Unintentionally retained surgically placed foreign bodies have been associated with increased morbidity and mortality, as well as increased costs and medicolegal consequences. This article reviews some of the most commonly retained surgical devices and provides a structured approach to intraoperative image acquisition and interpretation. By increasing the awareness of surgically placed foreign bodies, our goal is to reduce the incidence of and the complications associated with this difficult clinical problem.

CONCLUSION

Despite various systems and safeguards available, unintentionally retained surgically placed foreign bodies remain difficult to eliminate completely. Developing a standardized approach to the request, "intraoperative film, rule out foreign body," is essential to reduce the adverse outcomes associated with this problem.

摘要

目的

手术中遗留的异物与发病率和死亡率的增加以及成本和医疗法律后果的增加有关。本文回顾了一些最常见的遗留手术器械,并提供了一种针对术中图像采集和解释的结构化方法。通过提高对手术中遗留异物的认识,我们的目标是降低与这一困难临床问题相关的发生率和并发症。

结论

尽管有各种可用的系统和保障措施,但仍难以完全消除手术中遗留的异物。制定一种针对“术中片,排除异物”的请求的标准化方法对于降低与该问题相关的不良后果至关重要。

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