You Position: Home > Paper
Application of microporous polysaccharide hemospheres in total hip arthroplasty
( views:257, downloads:28 )
- Author:
- No author available
- Issue:
- 26
- DOI:
- 10.3969/j.issn.1673-8225.2012.26.009
- Key Word:
- 微孔多聚糖止血球;全髋关节置换;止血;血红蛋白;引流量;人工关节
Abstract： 背景:髋关节置换是目前骨科开展的较成熟手术,但暴露大,出血较多,临床需一种理想止血材料及方法来减少患者治疗过程中的出血.目的:观察微孔多聚糖止血球在全髋关节置换中的止血作用.方法:53例行全髋关节置换的患者随机分为观察组25例和对照组28例,对照组采用传统局部止血,观察组采用传统局部止血加微孔多聚糖止血球止血.比较两组在置换后引流量、置换后24 h输血量、置换前及置换后第1天复查血红蛋白降低值的区别.结果与结论:观察组在置换后引流量、置换后24 h输血量、置换前及置换后第1天复查血红蛋白下降量等方面较对照组显著减少(P＜0.05).提示微孔多聚糖止血球在全髋关节置换中有较好止血效果.
- [1]余敏,王万春,李雨佳.前外侧与后外侧小切口入路行初次全髋置换手术效果比较[J].2009,(4).
- [2]秦啸龙,张先龙.微创全髋关节置换手术入路进展[J].2006,(1).
- [3]刘文庚.全髋关节置换术治疗股骨头缺血坏死[J].2010,(33).
- [4]李永奖,蔡春元,杨国敬,等.后外侧微创小切口与传统全髋关节置换术的比较[J].2010,(2).
- [5]王为民,何远翔,黄海林,等.多微孔多聚糖止血球控制门静脉高压手术创面活动性出血的疗效[J].2005,(11).
- [6]李子荣,史振才,郭万首,等.后外侧入路小切口人工全髋关节置换术[J].2005,(5).
- [7]牛雯,刘毅,李志超,等.淀粉型可吸收多聚糖止血粉预防大鼠术后肠粘连[J].2009,(12).
- [8]张先龙,沈灏,眭述平,等.双切口微创人工全髋关节置换术[J].2005,(5).
- [9]Woolson ST,Mow CS,Syquia JF,etc.Comparison of primary total hip replacements performed with a standard incision or a mini-incision.[J].2004,86/A(7).
- [10]Wright JM,Madsen M,Sculco TP,etc.Mini-incision for total hip arthroplasty: A prospective, controlled investigation with 5-year follow-up evaluation.[J].2004,19(5).
- [11]刘俊杰,赵俊主编.现代麻醉学[M].1997.
- [12]王亦璁等主编.骨与关节损伤[M].1990.
- [13]Sculco TP,Bottner F,Delgado S.Minimally invasive total hip replacement: the posterolateral approach.[J].2006,35(5).
- [14]Gocen Z,Karatosun V,Unver B,etc.The effect of preoperative physiotherapy and education on the outcome of total hip replacement: a prospective randomized controlled trial.[J].2004,18(4).
- [15]赵金柱,徐朋,胡健,等.全髋关节置换术后患者院内感染的多因素分析[J].2011,(8).
- [16]邱贵兴,戴剋戎.骨科手术学[M].2006.
- [17]梁佩红,叶春婷.复合I型胶原海绵创伤止血的动物实验研究[J].2002,004 (5).
- [18]Murat FJ,Dong Y,Piedra MP,etc.Evaluation of microporous polysaccharide hemospheres as a novel hemostatic agent in open partial nephrectomy: favorable experimental results in the porcine model.[J].2004,172(3).
- [19]Parker MJ,Hay D,Roberts CP.Closed suction drainage for hip and knee arthroplasty. A meta-analysis.[J].2004,86/A(6).
- [20]Tan SR,Tope WD.Effectiveness of microporous polysaccharide hemospheres for achieving hemostasis in mohs micrographic surgery.[J].2004,30(6).
- [21]Nicolle A. Henderson,Yue Dong,William C. Oliver,etc.Microporous Polysaccharide Hemospheres Do Not Enhance Abdominal Infection in a Rat Model Compared with Gelatin Matrix[J].2009,10(3).
- [22]Chimento GF,Pavone V,Sharrock N,etc.Minimally invasive total hip arthroplasty: a prospective randomized study.[J].2005,20(2).
- [23]Sculco TP.Minimally invasive total hip arthroplasty: in the affirmative.[J].2004,19(4 Suppl.1).
- [24]Ponchel G,Hamdi G.Enzymatic degradation of epichlorohydrin crosslinked starch microspheres by alpha-amylase.[J].1999,16(6).
- [25]Pederson T,Carson JL,Cornell JE,etc.Higher Hb level is associated with better early functional recovery after hip fracture repair.[J].2003,43(12).