Brooks Peter J, Keramati Magid, Wickline Andrew
Department of Orthopedic Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
J Arthroplasty. 2007 Aug;22(5):641-3. doi: 10.1016/j.arth.2006.06.019. Epub 2007 Apr 11.
We retrospectively reviewed the charts of 381 consecutive patients who underwent primary unilateral or bilateral total knee arthroplasty with regional anesthesia between 1995 and 2002. All operations in this study were performed at the Cleveland Clinic Foundation by the senior author. Calf-high intermittent pneumatic compression stockings were used in all patients, and routine ultrasound examinations were performed at an average of 3 days after surgery. We compared the early postoperative rates of venous thromboembolism between patients with indwelling epidural catheters and no chemoprophylaxis and those with spinal anesthesia combined with low-molecular-weight heparin. We found no significant difference between the 2 groups.
我们回顾性分析了1995年至2002年间连续381例行初次单侧或双侧全膝关节置换术并采用区域麻醉的患者病历。本研究中的所有手术均由资深作者在克利夫兰诊所基金会进行。所有患者均使用小腿高位间歇性气动加压弹力袜，并在术后平均3天进行常规超声检查。我们比较了留置硬膜外导管且未进行化学预防的患者与接受脊髓麻醉联合低分子肝素的患者术后早期静脉血栓栓塞发生率。我们发现两组之间无显著差异。
