单侧膝单髁置换术中是否放置引流的比较  

A comparative study on unilateral unicompartmental knee arthroplasty with or without drainage

作　　者：康健[1] 付志厚 于秀淳 孙海宁 王冰[1] KANG Jian;FU Zhi-hou;YU Xiu-chun;SUN Hai-ning;WANG Bing(Orthopedic Department,The 960 Hospital of PLA,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第960医院骨科,济南250031

出　　处：《中国矫形外科杂志》2020年第15期1358-1361,共4页Orthopedic Journal of China

摘　　要：[目的]探讨单髁膝关节置换术中是否放置引流管对术后功能和临床疗效的影响。[方法]回顾性分析2018年1月~2018年12月于本院接受单侧第三代牛津单髁骨水泥型假体置换的患者共61例,其中30例患者未放置引流,31例患者术中放置引流。对比两组术后早期与随访资料。[结果]两组患者均顺利完成手术,无血管、神经损伤等严重并发症。两组患者在手术时间、术中失血量、住院时间、术后2 d血红蛋白、红细胞压积和术后2 d ROM的差异均无统计学意义(P>0.05)。两组患者术中及术后均未输血,无术后膝关节感染的发生。随访时间13~26个月,平均(17.42±6.46)个月。两组患者末次随访患膝ROM、VAS评分和KSS评分的差异均无统计学意义(P>0.05)。[结论]单髁膝关节置换术中放置引流管,并不会提升术后功能和临床效果,且有增加术后感染的风险,因此单髁膝关节置换术后不放置引流可能是更合理的选择。[Objective]To compare the clinical outcomes of unilateral unicompartmental knee arthroplasty(UKA)with or without drainage.[Methods]A retrospective study was conducted on 61 patients who received unilateral UKA for medial compartment osteoarthritis in our department from January 2018 to December 2018.Of them,30 patients had no drainage placed after UKA,while the remaining 31 patients had drainage placed.The documents at early stage after operation and the latest follow-up were compared between the two groups.[Results]All the patients in both groups had operation performed smoothly with no serious complications,such as nerve or blood vessel injuries.There were no statistically significant differences between two groups regarding to operation time,intraoperative blood loss,hospital stay,hemoglobin and hematocrit checked 2 days postoperatively,as well as ROM at 2 days after operation(P>0.05).No blood transfusion and infection happened in anyone of them.The follow-up period lasted for 13-26 months with a mean of(17.42±6.46)months.There were no statistically significant differences between two groups regarding to VAS,ROM and HSS score at the latest follow up(P>0.05).[Conclusion]As drainage does not improve the postoperative knee function and clinical outcomes,whereas increase the risk of postoperative infection.it is reasonable that no drainage should be placed in primary UKA.

关 键 词：膝关节 单髁置换 引流 出血 

分 类 号：R687.4[医药卫生—骨科学]