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局部麻醉下膝关节镜检查及控制性压力冲洗。

Arthroscopy of the knee under local anesthesia and controlled pressure-irrigation.

作者信息

Halperin N, Axer A, Hirschberg E, Agasi M

出版信息

Clin Orthop Relat Res. 1978 Jul-Aug(134):176-9.

PMID:729239
Abstract

One hundred and forty-two arthroscopies under local anesthesia, using "high pressure" irrigation-suction technique were carried out in 137 patients. With this technique the duration of the examination was shortened, the endoscopic field of vision was enlarged (posterior horn of the menisci could be visualized in most patients), the manipulation of the scope inside the joint cavity was easier and safer. More patients could have been examined during one session. The arthroscopic accuracy verified at 51 operations, was 90.5%, which is an improvement on our previous experience with arthroscopy under general anesthesia, with tourniquet and the routine " drip" technique.

摘要

对137例患者进行了142次局部麻醉下的关节镜检查,采用“高压”冲洗吸引技术。使用该技术缩短了检查时间,扩大了内镜视野(大多数患者可观察到半月板后角),关节腔内操作更容易、更安全。一次检查可检查更多患者。在51例手术中验证的关节镜检查准确率为90.5%,这比我们以前在全身麻醉、使用止血带和常规“滴注”技术下进行关节镜检查的经验有所提高。

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Arthroscopy of the knee under local anesthesia and controlled pressure-irrigation.局部麻醉下膝关节镜检查及控制性压力冲洗。
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引用本文的文献

1
Monitoring serum bupivacaïne levels during arthroscopy.关节镜检查期间监测血清布比卡因水平。
Eur J Clin Pharmacol. 1985;27(6):733-5. doi: 10.1007/BF00547058.
2
Arthroscopic surgery performed under local anesthesia as an outpatient procedure.在局部麻醉下作为门诊手术进行关节镜手术。
Arch Orthop Trauma Surg (1978). 1986;105(5):296-7. doi: 10.1007/BF00449929.