正颌外科手术后钛板取出术后手术部位感染的回顾性分析
Retrospective Analysis of Surgical Site Infection After Titanium Plate Removal Following Orthognathic Surgery.
作者信息
Yusa Kazuyuki, Hemmi Tomoharu, Kasuya Satoshi, Sasahara Nobuyuki, Ishikawa Shigeo
机构信息
Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, School of Medicine, Yamagata University, Yamagata 990-9585, Japan.
出版信息
J Clin Med. 2025 May 23;14(11):3657. doi: 10.3390/jcm14113657.
This study aimed to investigate associations between surgical site infection (SSI) and plate removal following orthognathic surgery. The study sample consisted of 191 patients (126 females, 65 males). Plate removal was performed in 174 patients with a mean age of 26.4 ± 9.7 years. Multiple logistic regression analysis was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for risk factors for SSI after plate removal. Forty-three patients developed SSI after plate removal. The only risk factor independently associated with SSI after plate removal was a history of SSI after orthognathic surgery (OR 2.476, 95% CI 1.040-5.892). Patients who experience SSI after orthognathic surgery are at higher risk of SSI after plate removal, so protocols for perioperative management should be carefully considered.
本研究旨在调查正颌外科手术后手术部位感染（SSI）与内固定取出之间的关联。研究样本包括191例患者（126例女性，65例男性）。174例患者进行了内固定取出，平均年龄为26.4±9.7岁。采用多因素logistic回归分析来估计内固定取出后发生SSI的危险因素的比值比（OR）和95%置信区间（CI）。43例患者在内固定取出后发生了SSI。内固定取出后与SSI独立相关的唯一危险因素是正颌外科手术后有SSI病史（OR 2.476，95%CI 1.040 - 5.892）。正颌外科手术后发生SSI的患者在内固定取出后发生SSI的风险更高，因此应仔细考虑围手术期管理方案。
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