期刊文献+

髁间闭合式和开放式人工膝关节假体对全膝关节置换术后出血量的影响 被引量:14

INFLUENCE OF CLOSED-BOX AND OPEN-BOX KNEE PROSTHESIS ON POSTOPERATIVE BLOOD LOSS IN PATIENTS UNDERGOING TOTAL KNEE REPLACEMENT
下载PDF
导出
摘要 目的全膝关节置换术(total knee replacement,TKR)出血量大,探讨股骨髁间闭合式人工膝关节假体有无减少TKR手术出血量的作用。方法2005年6月-2006年12月,对108例原发性膝关节骨性关节炎患者施行单、双膝TKR术。患者全身状况良好,无手术禁忌证。采用髁间闭合式膝关节假体54例(A组),男7例,女47例;年龄41~76岁,病程4~16年;其中单膝TKR组(A1组)27例,双膝TKR组(A2组)27例。采用髁间开放式膝关节假体54例(B组),男8例,女46例;年龄59~81岁,病程8~26年;其中单膝TKR组(B1组)27例,双膝TKR组(B2组)27例。患者均在相同麻醉下由同一组医生完成手术,比较A、B两组术后出血量和手术总出血量。结果术后出血量:A1、A2、B1及B2组分别为(890±352)、(1694±528)、(1068±386)及(2065±622)mL;A1与B1组比较,差异无统计学意义(P>0.05);A2组与B2组比较,差异有统计学意义(P<0.05)。手术总出血量:A1、A2、B1及B2组分别为(1095±329)、(2082±594)、(1274±415)及(2459±734)mL;A1组与B1组比较,差异无统计学意义(P>0.05);A2组与B2组比较,差异有统计学意义(P<0.05)。结论髁间闭合式膝关节假体对减少TKR术后出血量有一定作用,但不是主要影响因素,术中彻底止血是关键。 Objective To study the influence of close-box and open-box knee prosthesis on postoperative blood loss in patients undergoing total knee replacement(TKR). Methods From June 2005 to December 2006, 108 patients with primary knee osteoarthritis were treated with TKR. Closed-box knee prosthesis was used in 54 patients (Group A), including unilateral (Group A1,n=27)and bilateral (Group A2,n=27). There were 7 males and 47 females, aged 41-76 years; and the disease course was 4-16 years. Open-box knee prosthesis was used in 54 patients(Group B), including unilateral (Group B1,n=27)and bilateral(Group B2,n=27). There were 8 males and 46 females, aged from 59-81 years; and the disease course was 8-26 years. The postoperative blood loss and perioperative blood loss were compared between groups. Results The postoperative blood loss was (890±352), (1 694±528), (1068±386) and(2 065±622) mL in groups A1,A2,B1 and B2,respectively. There was no significant difference between groups A1 and BI(P 〉 0.05). There was significant difference between groups A2 and B2(P 〈 0.05). The total blood loss was (1 095±329), (2 082±594), (1 274±415) and (2 459±734) mL in groups A1, A2, B1 and B2, respectively. There was no significant difference between groups A1 and BI(P 〉 0.05). There was significant difference between groups A2 and B2 (P〈 0.05). Conclusion Closed-box knee prosthesis may play roles on reducing postoperative blood loss. The main influential factor for postoperative blood loss is operation techniques which includes reducing operation time and stanching thoroughly during operation.
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2008年第1期9-11,共3页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 髁间闭合式膝关节假体 髁间开放式膝关节假体 全膝关节置换术 出血量 Closed-box knee prosthesis Open-box knee prosthesis Total knee replacement Blood loss
  • 相关文献

参考文献18

  • 1赖红梅.全髋关节置换术患者术后并发症危险因素的评估及护理[J].解放军护理杂志,2004,21(8):45-46. 被引量:44
  • 2Keating EM, Meding JB. Perloperative blood management practices in elective orthopaedic surgery. J Am Acad Orthop Surg, 2002, 10(6): 393-400. 被引量:1
  • 3Kalairajah Y, Simpson D, Cossey AJ, et al. Blood loss after total knee replacement: effects of computer-assisted surgery. J Bone Joint Surg(Br), 2005, 87(11): 1480-1482. 被引量:1
  • 4Eum DS, Lee HK, Hwang SY, et al. Blood loss after navigation-assisted minimally invasive total knee arthroplasty. Orthopedics, 2006, 29(10 Suppl): S152-S154. 被引量:1
  • 5Sehat KR, Evans R, New,nan JH. How much blood is really lost in total knee arthroplasty ? Correct blood loss management should take hidden loss into account. Knee, 2000, 7(3): 151-155. 被引量:1
  • 6Lotke PA, Faralli VJ, Orenstein EM, et al. Blood loss after total knee replacement. Effects of tourniquet release and continuous passive motion. 1 Bone loint Surg(Am), 1991, 73(7): 1037-1040. 被引量:1
  • 7Rosencher N, Kerkkamp HE, Macheras G, et al. Orthopedic Surgery Transfusion Haemoglobin European Overview (OSTHEO) study: blood management in elective knee and hip arthroplasty in Europe. Transfusion, 2003, 43(4): 459-469. 被引量:1
  • 8Goodnough LT, Brecher ME, Kanter MH, et al. Transfusion medicine. Second of two parts blood conservation. N Engl J Med, 1999, 340(7): 525-533. 被引量:1
  • 9Reize P, Endele D, Rudert M, et al. Postoperative autologous transfusion from blood drainage after total hip joint arthroplasty how much value is really there ? Z Orthop Ihre Grenzgeb, 2006, 144(4): 400-404. 被引量:1
  • 10Lombardi AV, Mallory TH, Fada RA, et al. Simultaneous bilateral total knee arthroplasties: Who decides ? Clin Orthop Relat Res, 2001, (392): 319-329. 被引量:1

二级参考文献14

共引文献43

同被引文献196

引证文献14

二级引证文献79

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部