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学科主题: 骨科学
题名:
计算机导航联合微创技术对全膝关节置换失血的影响
其他题名: Effects of Computer Assisted Minimally Invasive Surgery on Blood Loss after Total Knee Replacement
作者: 李锋; 林雪林; 张克; 刘延青; 刘岩; 田华
关键词: 导航 ; 全膝关节置换 ; 骨性关节炎 ; Navigation ; Total knee arthroplasty(TKA) ; Osteoarthritis
刊名: 中国微创外科杂志
发表日期: 2015
DOI: 10.3969/j.issn.1009-6604.2015.03.002
期: 3, 页:197-200,214
收录类别: 中国科技核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:探讨计算机导航联合微创技术对全膝关节置换术后失血的影响。方法2012年8月~2013年10月选择初次接受膝关节置换的骨性关节炎患者,均使用髁间开放型假体,其中导航组40例,传统组40例,根据Ward和Gross方法计算隐性失血量、总失血量,记录输血及并发症。结果导航组与传统组患者术后总失血量分别为(1025±184) ml和(1494±201)ml,有统计学差异(t=10.885,P=0.000);导航组显性出血量明显少于传统组[(621±188)ml vs.(724±197) ml, t=2.392,P=0.019];导航组隐性出血量明显少于传统组[(404±179)ml vs.(732±204)ml,t=7.644,P=0.000];导航组异体输血率12.5%(5/40),低于传统组30.0%(12/40),但无统计学差异(χ2=3.660,P=0.056);导航组深静脉血栓形成发生率25.0%(10/40),低于传统组42.5%(17/40),但无统计学差异(χ2=2.739,P=0.098)。结论导航联合微创技术减少术后失血量,相应降低术后异体输血及深静脉血栓发生的机率。 Objective To evaluate the impact of minimally invasive technique ( MIS ) using a navigation system on postoperative blood loss in total knee arthroplasty ( TKA ) . Methods We compared the total blood volume loss in a cohort of patients with osteoarthritis undergoing either computer navigated minimally invasive technique ( n =40 ) or standard intramedullary technique (n=40).The total and hidden blood loss was calculated according to the Ward and the Gross method. Results The total blood loss was significantly less in the computer assisted group ( 1025 ±184 ) ml as compared with the conventional group (1494 ±201) ml (t=10.885, P=0.000).Patients with a computer navigated procedure and MIS technique had a significantly less dominant blood loss [(621 ±188) ml vs.(724 ±197) ml, t=2.392, P=0.019] and hidden blood loss [(404 ±179) ml vs. (732 ±204) ml,t=7.644,P=0.000] as compared with those who underwent a conventional TKA.The blood transfusion rate was 12.5%( 5/40 ) in the computer assisted group and 30.0% ( 12/40 ) in the conventional group, without statistically significant difference (χ2 =3.660, P=0.056).The deep vein thrombosis rate was 25.0%(10/40) in the computer assisted group and 42.5%(17/40 ) in the conventional group, without statistically significant difference (χ2 =2.739, P=0.098). Conclusion Computer navigated TKA combined with MIS technique has benefits of reduced postoperative blood loss, lower blood transfusion and deep vein thrombosis rate.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/70836
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: 1.北京大学第三医院骨科,北京,100191
2.北京大学第三医院骨科,北京 100191
3.聊城市第二人民医院骨科,聊城 252600

Recommended Citation:
李锋,林雪林,张克,等. 计算机导航联合微创技术对全膝关节置换失血的影响[J]. 中国微创外科杂志,2015(3):197-200,214.
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