全膝关节置换术中自体血通过回输系统进行输血。
Transfusion of autologous blood from reinfusion systems in total knee arthroplasty.
作者信息
Martin A, von Strempel A
机构信息
Academic Teaching Hospital, Department of Orthopedic Surgery, Medical University of Innsbruck, Feldkirch, Austria.
出版信息
Int Orthop. 2006 Dec;30(6):541-4. doi: 10.1007/s00264-006-0127-6. Epub 2006 May 31.
Abstract
After total knee arthroplasty (TKA) the technique of wound management is not standardised. In this prospective study the efficacy of autologous blood reinfusion from the wound was investigated. One hundred patients (100 TKAs) were enrolled in this sequential cohort study. In one-half of the operations, a reinfusion system with suction and in the other half one wound drain without suction were used. Blood loss, transfusion requirements, range of motion, Insall scores and the incidence of complications were studied. The use of a reinfusion system did not decrease the homologous transfusion requirements. The blood loss in the group with a suction drainage system was significantly higher. Our experiences since May 2002 with one drain without suction in 787 consecutive TKAs confirm all findings of the current study.
摘要
全膝关节置换术（TKA）后，伤口处理技术尚未标准化。在这项前瞻性研究中，对伤口自体血回输的疗效进行了调查。100例患者（100次TKA手术）纳入了这项序贯队列研究。在一半的手术中，使用了带有吸引装置的回输系统，另一半则使用了无吸引装置的伤口引流管。研究了失血量、输血需求、活动范围、Insall评分以及并发症的发生率。使用回输系统并未降低异体输血需求。使用吸引引流系统组的失血量显著更高。我们自2002年5月以来在787例连续TKA手术中使用无吸引装置的单根引流管的经验证实了本研究的所有结果。
相似文献
1
Transfusion of autologous blood from reinfusion systems in total knee arthroplasty.全膝关节置换术中自体血通过回输系统进行输血。
Int Orthop. 2006 Dec;30(6):541-4. doi: 10.1007/s00264-006-0127-6. Epub 2006 May 31.
2
[Relevance of wound drainage in total knee arthroplasty--a prospective comparative study].[全膝关节置换术中伤口引流的相关性——一项前瞻性对照研究]
Z Orthop Ihre Grenzgeb. 2004 Jan-Feb;142(1):46-50. doi: 10.1055/s-2004-817656.
3
[Use of post-operative drainage and auto-transfusion sets in total knee arthroplasty].[术后引流及自体输血装置在全膝关节置换术中的应用]
Acta Chir Orthop Traumatol Cech. 2006;73(1):34-8.
4
Impact of reinfusion drains on hemoglobin level in total knee arthroplasty.再灌注引流对全膝关节置换术中血红蛋白水平的影响。
Am J Orthop (Belle Mead NJ). 2010 Feb;39(2):70-4.
5
6
Reinfusion drains after primary total hip and total knee arthroplasty.初次全髋关节和全膝关节置换术后的回输引流管。
J South Orthop Assoc. 2000 Fall;9(3):193-201.
7
[A prospective randomized study of wound drainage versus non-drainage in primary total hip or knee arthroplasty].[初次全髋关节或膝关节置换术中伤口引流与不引流的前瞻性随机研究]
Rev Chir Orthop Reparatrice Appar Mot. 2001 Feb 1;87(1):29-39.
8
Low- vs. high-pressure suction drainage after total knee arthroplasty: a double-blind randomized controlled trial.全膝关节置换术后低压与高压引流：一项双盲随机对照试验。
J Adv Nurs. 2012 Apr;68(4):758-66. doi: 10.1111/j.1365-2648.2011.05760.x. Epub 2011 Nov 14.
9
Investigation of the use of drained blood reinfusion after total knee arthroplasty: a prospective randomised controlled study.全膝关节置换术后引流血回输的应用研究：一项前瞻性随机对照试验
J Orthop Surg (Hong Kong). 2005 Aug;13(2):120-4. doi: 10.1177/230949900501300203.
10
[Transfusion of recuperated blood in total knee arthroplasty].[全膝关节置换术中回收血的输注]
Rev Chir Orthop Reparatrice Appar Mot. 2002 Dec;88(8):777-89.
引用本文的文献
1
Postoperative shed autologous blood reinfusion does not decrease the need for allogeneic blood transfusion in unilateral and bilateral total knee arthroplasty.术后引流自身血回输并不减少单侧和双侧全膝关节置换术异体输血的需求。
PLoS One. 2019 Jul 8;14(7):e0219406. doi: 10.1371/journal.pone.0219406. eCollection 2019.
2
No benefit of autologous transfusion drains in total knee arthroplasty.全膝关节置换术中引流管不应用于自体输血。
Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1557-1563. doi: 10.1007/s00167-017-4585-8. Epub 2017 Jun 2.
3
Efficiency and cost analysis of cell saver auto transfusion system in total knee arthroplasty.全膝关节置换术中细胞保存自动输血系统的效率和成本分析。
Balkan Med J. 2014 Jun;31(2):149-53. doi: 10.5152/balkanmedj.2014.13267. Epub 2014 Jun 1.
4
Effectiveness of an autologous transfusion system following cemented and non-cemented revisions of total hip arthroplasty.全髋关节置换术骨水泥型和非骨水泥型翻修术后自体输血系统的有效性。
Int Orthop. 2014 Aug;38(8):1603-8. doi: 10.1007/s00264-014-2359-1. Epub 2014 May 11.
5
Non-continuous versus continuous wound drainage after total knee arthroplasty: a meta-analysis.全膝关节置换术后间断与持续引流的比较：一项荟萃分析。
Int Orthop. 2014 Feb;38(2):361-71. doi: 10.1007/s00264-013-2105-0. Epub 2013 Sep 19.
6
Practical issues for the use of tranexamic acid in total knee arthroplasty: a systematic review.氨甲环酸在全膝关节置换术中应用的实际问题：一项系统评价
Knee Surg Sports Traumatol Arthrosc. 2014 Aug;22(8):1849-58. doi: 10.1007/s00167-013-2487-y. Epub 2013 Mar 31.
7
Does single use of an autologous transfusion system in TKA reduce the need for allogenic blood?: a prospective randomized trial.单次使用自体输血系统是否能减少 TKA 患者异体输血的需求？一项前瞻性随机试验。
Clin Orthop Relat Res. 2013 Apr;471(4):1319-25. doi: 10.1007/s11999-012-2729-1. Epub 2012 Dec 11.
8
Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty.术中失血回输在计算机辅助初次全膝关节置换术中没有获益。
Knee Surg Sports Traumatol Arthrosc. 2011 Jun;19(6):926-31. doi: 10.1007/s00167-010-1228-8. Epub 2010 Sep 3.
9
Acute compartment syndrome of the forearm following autologous blood reinfusion: a case report.自体血回输后前臂急性骨筋膜室综合征：一例报告
Hand (N Y). 2010 Sep;5(3):303-6. doi: 10.1007/s11552-009-9237-0. Epub 2009 Oct 29.
10
Reinfusion of unwashed salvaged blood after total knee arthroplasty in patients with rheumatoid arthritis.类风湿关节炎患者全膝关节置换术后未洗涤回收血再回输。
Int Orthop. 2009 Dec;33(6):1615-8. doi: 10.1007/s00264-008-0661-5. Epub 2008 Oct 14.
本文引用的文献
1
Clinical efficacy of postoperative autologous transfusion of filtered shed blood in hip and knee arthroplasty.髋膝关节置换术中过滤回收血自体回输的临床疗效
Transfusion. 2004 Nov;44(11):1567-71. doi: 10.1111/j.1537-2995.2004.03233.x.
2
Closed suction drainage for hip and knee arthroplasty. A meta-analysis.髋关节和膝关节置换术的闭式吸引引流。一项荟萃分析。
J Bone Joint Surg Am. 2004 Jun;86(6):1146-52. doi: 10.2106/00004623-200406000-00005.
3
[Relevance of wound drainage in total knee arthroplasty--a prospective comparative study].[全膝关节置换术中伤口引流的相关性——一项前瞻性对照研究]
Z Orthop Ihre Grenzgeb. 2004 Jan-Feb;142(1):46-50. doi: 10.1055/s-2004-817656.
4
[Closure under reduced atmospheric pressure of extensive wounds].[大面积伤口在减压状态下的闭合]
Mem Acad Chir (Paris). 1954;80(12-14):394-6.
5
Re-transfusion of autologous blood from wound drains: the means for reducing transfusion requirements in total knee arthroplasty.
Knee. 2001 Dec;8(4):321-3. doi: 10.1016/s0968-0160(01)00122-3.
6
[Minimizing allogeneic blood transfusion in knee prosthesis implantation].
Unfallchirurg. 2001 Sep;104(9):808-12. doi: 10.1007/s001130170050.
7
Reinfusion of drained blood as an alternative to homologous blood transfusion after total knee replacement.全膝关节置换术后回输引流血作为同种异体输血的替代方法。
Int Orthop. 2001;25(4):257-9. doi: 10.1007/s002640100250.
8
Increased interleukin-6 in collected drainage blood after total knee arthroplasty: an association with febrile reactions during retransfusion.
Acta Orthop Scand. 2001 Jun;72(3):270-2. doi: 10.1080/00016470152846600.
9
[A prospective randomized study of wound drainage versus non-drainage in primary total hip or knee arthroplasty].[初次全髋关节或膝关节置换术中伤口引流与不引流的前瞻性随机研究]
Rev Chir Orthop Reparatrice Appar Mot. 2001 Feb 1;87(1):29-39.
10
Drainage is of no use in primary uncomplicated cemented hip and knee arthroplasty for osteoarthritis: a prospective randomized study.引流在原发性单纯性骨水泥型髋膝关节置换治疗骨关节炎中并无用处：一项前瞻性随机研究。
J Arthroplasty. 2000 Aug;15(5):567-9. doi: 10.1054/arth.2000.6616.
Zotero 插件