双极电凝器在脊柱手术中的应用及并发症  

Application and risk factors of bipolar coagulation on spine surgery

作　　者：徐明慧 

机构地区：[1]林州市中医院骨科,河南林州456550

出　　处：《临床骨科杂志》2013年第5期501-503,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨双极电凝器在脊柱手术中的应用价值及并发症的危险因素。方法 230例脊柱疾病患者按治疗方法分为对照组(100例,常规止血)及电凝组(130例,双极电凝器止血),比较两组术后恢复和并发症发生情况。结果电凝组有效率高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。电凝组并发症与患者伴发疾病有关。结论双极电凝器在脊柱手术中的效果显著,并发症较低,但应根据患者有无伴发疾病合理使用。Objective To investigate the function of bipolar cautery and complication in spinal surgery. Methods 230 cases with spinal disorders were divided into a control group （conventional hemostatic, 100 cases） and coagula- tion group （hemostasis by bipolar coagulation device, 130 cases）. Then the postoperative recovery and complications between control group and the coagulation group were compared. Results Efficient of bipolar coagulation was higher than that in the control group （ P 〈 O. 05 ）, the complication rate was lower than the control group （ P 〈 0. 05 ）. Con- comitant diseases were associated with bipolar coagulation group complications. Condusions Effect of bipolar coag- ulation in spinal surgery is good and complication is lower, but it should be reasonable in accordance with concomitant diseases of the patients with bipolar coagulation.

关 键 词：双极电凝器 脊柱手术 手术后并发症 

分 类 号：R681.5[医药卫生—骨科学] R687.2[医药卫生—外科学]