全膝关节置换术后Floseal(r)与电灼止血效果的比较。
Comparison of Floseal(r) and electrocautery in hemostasis after total knee arthroplasty.
作者信息
Helito Camilo Partezani, Gobbi Riccardo Gomes, Castrillon Lucas Machado, Hinkel Betina Bremer, Pécora José Ricardo, Camanho Gilberto Luis
机构信息
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2013;21(6):320-2. doi: 10.1590/S1413-78522013000600004.
OBJECTIVE
To evaluate whether hemostasis with eletrocauterization in comparison with Floseal((r)) leads to different bleeding rates during total knee arthroplasty.
METHODS
A COMPARATIVE STUDY WAS PERFORMED BETWEEN TWO GROUPS: group with ten consecutive total knee arthroplasties with Floseal((r)) used as hemostatic method and control group with ten consecutive total knee arthroplasties with eletrocauterization as hemostatic method. Bleeding parameters such as debit of the drain, liquid infusion and blood transfusion rate were recorded.
RESULTS
Floseal((r)) group received less blood transfusion, less liquid infusion and lower drainage in absolute numbers compared to the control group. However, no parameter was statistically significant.
CONCLUSION
Hemostasis with Floseal((r)) is as effective as hemostasis with eletrocauterization, what makes it a viable alternative to patients with contraindication to electric scalpel use. Level of Evidence II, Prospective Comparative Study.
目的
评估在全膝关节置换术中，与使用弗洛塞尔（Floseal）相比，电灼止血是否会导致不同的出血率。
方法
对两组进行了一项对比研究：一组为连续10例使用弗洛塞尔作为止血方法的全膝关节置换术，另一组为连续10例使用电灼作为止血方法的全膝关节置换术作为对照组。记录引流液量、液体输注量和输血率等出血参数。
结果
与对照组相比，弗洛塞尔组的输血次数、液体输注量和引流液量绝对值均较少。然而，没有参数具有统计学意义。
结论
弗洛塞尔止血与电灼止血同样有效，这使其成为有使用电刀禁忌证患者的可行替代方法。证据级别II，前瞻性对比研究。
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