全膝关节置换术中止血带应用的研究进展  

Research progress of applicating tourniquet in total knee arthroplasty

作　　者：杨健齐[1] YANG Jianqi(Department of Orthopedics,The First People's Hospital of Foshan,Foshan 528000,Guangdong,China)

机构地区：[1]中山大学附属佛山市第一人民医院骨科,广东佛山528000

出　　处：《中华骨与关节外科杂志》2018年第11期877-880,共4页Chinese Journal of Bone and Joint Surgery

摘　　要：全膝关节置换术(TKA)是治疗重度骨关节退行性疾病、重建膝关节功能的重要手段,使用止血带是手术过程中的常规操作。一般认为,使用止血带能减少膝关节置换术中出血,更加清晰的暴露术野,减少神经及血管等医源性损伤。但由于止血带本身的一些特性,使用止血带可能带来神经压迫损伤、血管内皮细胞的缺血再灌注损伤以及全身血流动力学的改变等。近年来,对于TKA术中使用止血带的应用研究报道逐渐增多,本文对此做一综述。Total knee arthroplasty(TKA) has been proven to be one of the best procedures for treating severe osteoarthritisand reconstructing the joint function of the knee. Using tourniquet can reduce intraoperative bleeding, provide a more clear op-erative field, and avoid blood vessel and nerve injuries, Which was deemed normal treatment in TKA. Meanwhile, using tourni-quet can also induce pressure on the nerve, vascular endothelial cells injury by ischemic reperfusion and demic hemo-dynam-ic change. Recent studies on using tourniquet in TKA surgery have increased gradually. In this paper,we will make a review ofthe application of tourniquet in TKA.

关 键 词：膝关节置换 止血带 

分 类 号：R687.4[医药卫生—骨科学]