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全膝关节置换术中水泥聚合过程中胭窝温度与深静脉血栓形成的相关性。

Association between deep vein thrombosis and the temperature at the popliteal fossa during cement curing in total knee arthroplasty.

机构信息

Department of Orthopedics, Drum Tower Hospital, NanjingUniversity Medical School, China.

出版信息

J Arthroplasty. 2011 Apr;26(3):414-8. doi: 10.1016/j.arth.2010.01.099. Epub 2010 Mar 26.

Abstract

The temperature at the popliteal fossa during cement curing and its relationship with deep vein thrombosis (DVT) in total knee arthroplasty (TKA) has not been investigated. Fifty-six consecutive patients who underwent primary TKA were recruited. The temperatures at the popliteal fossa were measured during bone cement exothermic polymerization. Postoperative operated leg ascending venographies were performed 5 days after TKA for screening of DVT. The maximum temperatures were 32.5°C ± 1.0°C at the popliteal fossa during cement curing. No significant difference was found of the maximum temperatures in the popliteal fossa between the non-DVT and DVT groups. The present study indicated that the heat resulting from polymerization of the cement may not be a possible cause of damage to the veins surrounding the knee, and it may have no relationship with DVT.

摘要

在全膝关节置换术中,胭窝处的温度在骨水泥聚合过程中的变化及其与深静脉血栓(DVT)的关系尚未得到研究。本研究纳入了 56 例连续行初次全膝关节置换术的患者。在骨水泥聚合的放热过程中测量胭窝处的温度。术后第 5 天行下肢上行静脉造影术以筛查 DVT。在骨水泥聚合过程中,胭窝处的最高温度为 32.5°C±1.0°C。DVT 组和非 DVT 组胭窝处的最高温度无显著差异。本研究表明,骨水泥聚合产生的热量可能不会对膝关节周围的静脉造成损害,也与 DVT 无关。

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