Lundberg M, Odensten M, Hammer R, Hamberg P, Lysholm J, Gillquist J
Acta Chir Scand Suppl. 1984;520:79-83.
The use of operating instruments for routine arthroscopic operations was analysed on 2397 arthroscopies with 986 operations. The biggest group was meniscectomy (n = 358). The most common instrument combination was knife, a straight 4 mm grasper, a 3-4 mm basket forceps and a suction device, which was used in 53% of the cases. Instrument breakage rates were analysed and found to be rather high especially for straight basket forceps (2/100 operations) and grasping forceps (3.6/100 operations). In two cases arthrotomy had to be done to retrieve a broken piece of grasping forceps. 30 degree telescopes used together with a TV-system had to be replaced at a rate of 0.8/100 operations and 70 degree telescopes at 0.2/100 operations.
我们对2397例关节镜检查中的986例常规关节镜手术所使用的手术器械进行了分析。最大的一组手术是半月板切除术(n = 358)。最常用的器械组合是手术刀、4毫米直抓钳、3 - 4毫米篮钳和吸引装置,53%的病例使用了该组合。对器械破损率进行了分析,发现破损率相当高,尤其是直篮钳(每100例手术中有2例)和抓钳(每100例手术中有3.6例)。有两例不得不进行关节切开术以取出破损的抓钳碎片。与电视系统一起使用的30度望远镜每100例手术中有0.8例需要更换,70度望远镜每100例手术中有0.2例需要更换。