充气式止血带在全膝关节置换术中应用的研究进展  

Recent advances in application of pneumatic tourniquet in total knee arthroplasty

作　　者：吴鑫杰 谭明生[1,2] WU Xin-jie;TAN Ming-sheng(Graduate School,Peking Union Medical College,Beijing 100005,China)

机构地区：[1]北京中日友好医院,北京100029 [2]北京协和医学院研究生院,北京100005

出　　处：《中国矫形外科杂志》2018年第17期1601-1604,共4页Orthopedic Journal of China

摘　　要：充气式止血带广泛用于全膝关节置换术中,不仅可以提供清晰的术野,而且还可以为骨水泥实现良好的微观交锁提供基础。但止血带对失血量及输血率、下肢深静脉血栓形成是否具有影响一直存有争议。术中应用止血带对判断髌骨的轨迹、对骨水泥的影响和术后疼痛及功能恢复情况也是目前研究的热点。如何正确地使用止血带,避免其带来的术中、术后并发症仍需深入研究。故熟悉止血带的潜在危险并对该领域研究进展有所了解有极其重要的意义。Pneumatic tourniquet is widely used in total knee arthroplasty,which not only provide a clear surgical field but also offer a good basis for micro-interlock of bone cement.However,it is still controversial whether tourniquet has effect on blood loss,transfusion rate and the deep vein thrombosis of lower extremity.The impacts of tourniquet applied during operations on patella tracking,bone cement and postoperative pain and functional recovery are also focuses today.It still needs further study to address how to correctly use the tourniquet and to avoid complications during and after procedures.Hence,it is significant to be familiar with the potential risk of tourniquet and recent advances in this area.

关 键 词：止血带 膝关节 关节成形术 

分 类 号：R687.4[医药卫生—骨科学]