髋关节择期置换术中无需常规闭式吸引引流：104例手术的前瞻性随机试验
No need for routine closed suction drainage in elective arthroplasty of the hip: a prospective randomized trial in 104 operations.
作者信息
González Della Valle Alejandro, Slullitel Gastón, Vestri Renato, Comba Fernando, Buttaro Martín, Piccaluga Francisco
机构信息
The Hospital for Special Surgery, 535 East 70 Street, New York, NY 10021, USA.
出版信息
Acta Orthop Scand. 2004 Feb;75(1):30-3. doi: 10.1080/00016470410001708050.
BACKGROUND
The purpose of this study was to determine the utility of closed suction drainage (CSD) in elective total hip arthroplasty (THA).
PATIENTS AND METHODS
We randomized 104 elective, consecutive THAs to receive drainage (53) or no drainage (51). 60 arthroplasties were cemented and 44 hybrid.
RESULTS
In the drainage group, 2 hematomas and 2 superficial wound infections occurred; there were no wound complications in the undrained group (p = 0.04). Patients receiving drainage had a greater reduction in hematocrit (10.4 vs 7.4) (p = 0.03), and longer hospital stay (5.1 days vs 4.7) (p = 0.01). At the 3-month follow-up, we found no deep wound infections in either group.
INTERPRETATION
We no longer use CSD in elective, primary, routine THA.
背景
本研究的目的是确定闭式吸引引流（CSD）在择期全髋关节置换术（THA）中的作用。
患者与方法
我们将104例择期、连续的THA患者随机分为接受引流组（53例）和不接受引流组（51例）。其中60例关节置换术采用骨水泥固定，44例采用混合固定。
结果
引流组发生2例血肿和2例浅表伤口感染；未引流组无伤口并发症（p = 0.04）。接受引流的患者血细胞比容下降幅度更大（10.4对7.4）（p = 0.03），住院时间更长（5.1天对4.7天）（p = 0.01）。在3个月的随访中，两组均未发现深部伤口感染。
解读
我们不再在择期、初次、常规THA中使用CSD。
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