Wang Ji-Qi, Chen Lu-Ying, Jiang Bing-Jie, Zhao You-Ming
Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical University, Xue Yuan Xi Road, Wenzhou, Zhejiang, China.
Department of Otolaryngology, the First Affiliated Hospital of Wenzhou Medical University, South White Elephant, Ouhai District, Wenzhou, Zhejiang, China.
J Invest Surg. 2019 Dec;32(8):716-722. doi: 10.1080/08941939.2018.1458166. Epub 2018 Apr 11.
: There is a large amount of hidden blood loss (HBL) after total hip arthroplasty (THA), but the effective and safe methods to reduce HBL are still controversial. : Sixty-nine consecutive patients who underwent THA in our hospital from January 2015 to December 2015 were analyzed retrospectively. The patients were divided into two groups, Group A (THA without oxidized regenerated cellulose) and Group B (THA with oxidized regenerated cellulose). Demographics, perioperative laboratory values, intraoperative data, blood loss, transfusion rate, transfusion reactions, and surgical complications were collected and analyzed. : A total of 37 (54%) patients used oxidized regenerated cellulose (ORC) in operation. The total blood loss (TBL), postoperative blood loss (PBL), hemoglobin (Hb) loss, and hidden blood loss (HBL) in group B were significantly lower than in group A. : The use of ORC to fill the bone surface and soft tissue gap before incision closure can effectively reduce HBL and may be a potential treatment for blood prevention after THA.
全髋关节置换术（THA）后存在大量隐性失血（HBL），但减少HBL的有效且安全的方法仍存在争议。回顾性分析了2015年1月至2015年12月在我院连续接受THA的69例患者。将患者分为两组，A组（未使用氧化再生纤维素的THA）和B组（使用氧化再生纤维素的THA）。收集并分析人口统计学、围手术期实验室值、术中数据、失血量、输血率、输血反应和手术并发症。共有37例（54%）患者在手术中使用了氧化再生纤维素（ORC）。B组的总失血量（TBL）、术后失血量（PBL）、血红蛋白（Hb）损失和隐性失血（HBL）均显著低于A组。在切口闭合前使用ORC填充骨表面和软组织间隙可有效减少HBL，可能是THA后预防失血的一种潜在治疗方法。
