微创与传统膝关节置换术失血量比较  

Comparative study of blood loss in minimally invasive surgery and conventional total kneearthroplasty

作　　者：王志强[1,2] 黄伟[1] 梁熙[1] 胡宁[1] 徐伟[1] 林良波[1] 符纯峰[1] 程强[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,400016 [2]遂宁市中心医院骨科

出　　处：《中华创伤杂志》2013年第1期38-42,共5页Chinese Journal of Trauma

摘　　要：目的比较微创全膝关节置换术（minimallyinvasivesurgerytotalkneearthroplasty，MIS—TKA）与传统全膝关节置换术（conventional total knee arthroplasty，C—TKA）围术期失血量的差异。方法回顾性分析2009年1月一2012年1月收治的84例单侧TKA患者围术期失血量，按手术方式分为微创组（42例）和传统组（42例），计算围术期失血量（显性失血量＋隐性失血量），对两组患者的失血量和输血量进行比较。结果传统组围术期失血量为（1466±493）ml，输血量为（223±208）ml；微创组围术期失血量为（1379±475）ml，输血量为（257±239）ml（P〉0．05）。结论MIS—TKA不能减少围术期失血量。Objective To compare difference of perioperative blood loss between minimally invasive surgery total knee arthroplasty （MIS-TKA） and conventional TKA （C-TKA）. Methods A retrospective study was conducted on perioperative bleeding volume in 84 patients undergone unilateral TKA from January 2009 to January 2012. The patients were divided to minimally invasive group （42 patients） and conventional group （42 patients）, according to surgical approaches. Perioperative blood loss （evident ＋ occult hemorrhage） was calculated. Blood loss and blood requirement in the two groups were analyzed and compared as well. Results Mean blood loss was （ 1 466 ± 493 ） ml in the conventional group and （ 1 379 ± 475 ） ml in the minimally invasive group （ P 〉 0.05 ）. Moreover, mean blood requirement in the two groups was （223± 208 ） ml and （257 ± 239） ml respectively （ P 〉 0.05 ）. Conclusion MIS-TKA can not reduce perioperative blood loss.

关 键 词：关节成形术 置换 膝 失血 手术 外科手术 微创性 

分 类 号：R687.4[医药卫生—骨科学]