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扩大接入范围:用于外围手术的无菌带

Christian Warner¹, Christopher Peach¹, Ronnie Davies¹

¹Trauma and Orthopaedics, Manchester Shoulder and Elbow Unit, Wythenshawe Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, GBR.

|October 30, 2023

概括

无菌护带,特别是弹性无血化类型,与非无菌选项相比,为远端膀臂手术提供了更广泛的手术领域. 这种增强的可视化有助于更安全的手术,并可能减少血液损失.

科学领域:

整形外科手术整形外科手术
手术技术手术技术
医疗器械医疗器械

背景情况:

围可以提高手术的可见性,并减少手术时间在远部手臂手术.
有限的外科实地尺寸和围的放置可能是一个挑战.
研究无菌环护,以改善外科手术在远端腰椎手术的入口.

研究的目的:

为了比较无菌与非无菌带所提供的外科手术场宽度,用于远部腰椎手术.
评估不同类型的门在创造更广泛的操作领域中的有效性.

主要方法:

五名志愿者模拟了远端手臂手术.
使用非无菌的气动 (标准,窄) 和无菌的气动和弹性脱血环带进行了手术场长度的测量.
使用单向重复测量的统计分析ANOVA进行.

主要成果:

无菌的弹性无血带提供了最大的手术场 (24.4厘米,手臂的71%).
与标准的非无菌环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形环形
在轮装置之间发现了平均外科实地长度的显著差异 (p = .001).

结论:

一些无菌护带,特别是弹性无血化类型,为远端手腕手术提供了更广泛的外科领域.
无菌的弹性无血化带比非无菌的带平均增加7.4厘米.
建议考虑无菌护带,特别是无血型,用于远部腰椎和中轴腰椎骨折,以提高安全性和减少流血.

关键词:

远部腰骨骨折骨折在远部腰骨骨折弹性无血转器弹性无血转器肋骨骨架骨折肋骨骨架骨折肋骨骨架骨折中轴骨骨折骨骨折中轴骨折骨骨折中轴骨骨折中轴骨折无菌的环节.轮使用轮使用上肢创伤是指上肢的创伤.上肢手术是上肢手术.

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