Li Guang-Zhou, Hong Ying, Liu Hao, Ma Li-Tai, Yang Yi, Ding Chen, Wang Bei-Yu, Chen Hua
Department of Operation, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China;
Zhongguo Gu Shang. 2017 Sep 25;30(9):849-852. doi: 10.3969/j.issn.1003-0034.2017.09.013.
To compare the hemostatic effect between absorbable hemostatic fluid gelatin (HFG) and absorbable gelatin sponge(GS) during operation of unilateral open-door cervical expansive laminoplasty.
The clinical data of 83 patients underwent unilateral open-door cervical expansive laminoplasty from February 2014 to May 2016 were retrospectively analyzed. According to the used hemostatic materials, patients were divided into two groups. In HFG group, there were 30 males and 11 females, ranging in age from 29 to 81 years, with an average of(55.6±11.6)years; 14 cases were simple cervical spinal stenosis, 9 were cervical spinal stenosis and ossification of posterior longitudinal ligament, and 18 were cervical spinal stenosis complicated with multiple cervical disc herniation. And in GS group, there were 32 males and 10 females, ranging in age from 36 to 78 years, with an average of (55.4±11.1) years; 12 cases were simple cervical spinal stenosis, 10 were cervical spinal stenosis complicated with ossification of posterior longitudinal ligament, and 20 were cervical spinal stenosis complicated with multiple cervical disc herniation. There was no significant difference in the age, gender, and disease categories of patients between two groups (>0.05). The operative time, intraoperative bleeding, postoperative drainage, and postoperative complications were compared between two groups.
The average operative time, intraoperative bleeding, and postoperative drainage in HFG group were(137.2±30.0) min, (156.1±74.6) ml, and (212.1±67.6) ml, respectively; and in GS group were (154.8±33.5) min, (242.9±120.7) ml, and(303.3±115.5) ml, respectively. There were significantly differences in above items between two groups(<0.05). No acute heamatoma or related complications was found postoperatively.
Compared with GS, HFG can obviously decrease operative time, intraoperative bleeding, and postoperative drainage. It is a safe and effective hemostatic material for the operation of unilateral open-door cervical expansive laminoplasty.
比较可吸收止血液明胶（HFG）与可吸收明胶海绵（GS）在单侧开门颈椎管扩大成形术中的止血效果。
回顾性分析2014年2月至2016年5月行单侧开门颈椎管扩大成形术的83例患者的临床资料。根据所使用的止血材料，将患者分为两组。HFG组中，男30例，女11例，年龄29～81岁，平均（55.6±11.6）岁；单纯颈椎管狭窄14例，颈椎管狭窄并后纵韧带骨化9例，颈椎管狭窄合并多节段颈椎间盘突出18例。GS组中，男32例，女10例，年龄36～78岁，平均（55.4±11.1）岁；单纯颈椎管狭窄12例，颈椎管狭窄合并后纵韧带骨化10例，颈椎管狭窄合并多节段颈椎间盘突出20例。两组患者的年龄、性别及疾病种类比较，差异均无统计学意义（>0.05）。比较两组患者的手术时间、术中出血量、术后引流量及术后并发症。
HFG组患者的平均手术时间、术中出血量及术后引流量分别为（137.2±30.0）min、（156.1±74.6）ml、（212.1±67.6）ml；GS组分别为（154.8±33.5）min、（242.9±120.7）ml、（303.3±115.5）ml。两组上述指标比较，差异均有统计学意义（<0.05）。术后未发现急性血肿或相关并发症。
与GS相比，HFG可明显缩短手术时间、减少术中出血量及术后引流量。是单侧开门颈椎管扩大成形术安全有效的止血材料。
