全膝关节置换术对下肢血流的影响。

The influence of total knee arthroplasty on lower limb blood flow.

作者信息

Scriven M W, Fligelstone L J, Oshodi T O, Stavri G, Pugh N, Lane I F

机构信息

Cardiff Vascular Unit, University Hospital of Wales, Heath Park, UK.

出版信息

J R Coll Surg Edinb. 1996 Oct;41(5):323-4.

PMID:8908958

Abstract

Ischaemic complications of total knee arthroplasty (TKA) are unusual and tend to occur in patients with peripheral vascular disease (PVD). A prospective study was undertaken to investigate the effect of TKA on blood flow in patients without clinical evidence of PVD. Ankle brachial index (ABI) did not alter post-operatively and no changes in arterial waveforms were found. Unless there is clinical evidence of PVD, TKA under tourniquet control is therefore very unlikely to cause ischaemic complications.

摘要

全膝关节置换术（TKA）的缺血性并发症并不常见，且往往发生在患有外周血管疾病（PVD）的患者中。一项前瞻性研究旨在调查TKA对无PVD临床证据患者血流的影响。术后踝肱指数（ABI）未发生改变，且未发现动脉波形有变化。因此，除非有PVD的临床证据，否则在止血带控制下进行TKA极不可能导致缺血性并发症。