在内镜外科手术期间,热盐水灌对手术场的影响:随机对照试验
Jawairia Altaf1, Ahmed Hasan Ashfaq1, Nida Riaz1
1Department of ENT and Head and Neck Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
概括
在内镜外科手术中使用50°C盐水,通过减少出血和手术时间,显著改善了手术场景. 这种具有成本效益的方法提高了患者的治疗结果和手术效率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 最少侵入性手术的方法
背景情况:
- 有效的出血控制对于成功的内镜外科手术 (ESS) 是至关重要的.
- 在手术前用加热的盐水 (50°C) 灌可以促进静血,而不会造成组织损伤.
- 这种技术旨在创造一个更清晰的外科领域,潜在地提高手术效率.
研究的目的:
- 评估50°C盐水灌在ESS期间改善操作场地的有效性.
- 为了比较接受加热盐水和接受室温盐水的患者之间的手术结果,包括出血和持续时间.
主要方法:
- 一项随机对照试验,涉及60名接受ESS治疗的患者.
- 患者被分为两组:干预组 (50°C盐水灌) 和对照组 (室温盐水灌).
- 手术现场的质量是使用Boezaart得分来评估的,同时测量出血量和手术持续时间.
主要成果:
- 与对照组相比,干预组 (50°C盐水) 的Boezaart分数 (2.23 ± 0.72) 与对照组 (3.43 ± 0.72) 相比显著较低.
- 接受加热盐水治疗的患者经历了减少的出血 (平均221.83毫升) 和更短的手术持续时间 (大多在60分钟以下).
- 在加热盐溶液组中,在改善的Boezaart得分,减少出血和更短的手术时间之间观察到强烈的相关性 (p < 0.001).
结论:
- 将普通盐水加热到50°C是一种经济高效的方法,可以在ESS中实现无血操作场.
- 这种技术显著减少了手术内出血,并减少了内镜鼻手术的整体持续时间.
- 加热盐水灌为提高ESS手术效率和患者安全提供了实用和有益的补充.
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