伤口关闭的组织粘合剂,作为主针的辅助,减少膝关节全关节整形术后的术后伤口排水
C Dijkman1, A R Thomas2, L van Boekel3
1Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands. casperdijkman@gmail.com.
Archives of orthopaedic and trauma surgery
|December 16, 2024
概括
在膝盖或关节置换手术后使用组织粘合剂显著减少了伤口排水和延长住院时间. 这种方法具有成本效益,并且可能降低接受关节整形手术的患者的感染风险.
科学领域:
- 整形外科手术 整形外科手术
- 伤口管理 伤口管理
- 生物材料是一种生物材料.
背景情况:
- 伤口排水是全膝盖 (TKA) 和关节整形术后的一个常见并发症.
- 这种并发症导致患者动员延迟,住院时间延长,医疗费用增加,手术部位感染的风险更高.
- 组织粘合剂被研究为传统的皮肤闭合方法 (粘合剂) 的辅助.
研究的目的:
- 评估组织粘合剂在减少关节整形术后伤口排水方面的有效性.
- 评估组织粘合剂对住院时间和相关成本的影响.
- 为了确定在骨科手术中使用组织粘合剂用于伤口关闭的成本效益.
主要方法:
- 一项前性研究,涉及1000名接受初级TKA,全关节或单形膝关节关节整形手术的患者,这些患者接受了组织粘合剂.
- 与1000名没有接受组织粘合剂的患者的历史队列进行比较.
- 分析由于伤口排水而导致长时间入院的情况,并计算成本节约.
主要成果:
- 在组织粘合剂组 (39/990 vs 68/961,p=0.002) 中,观察到需要为伤口排水而长时间入院的患者数量显著减少.
- 由于伤口排水而导致的平均额外住院时间在组织粘性队列中较低 (0.06 vs 0.13天),在TKA亚组中尤为显著.
- 这项干预措施节省了19,610欧元的成本,避免了长时间住院.
结论:
- 组织粘合剂,当与TKA中伤口关闭的紧固件一起使用时,有效地减少伤口排水,并且具有成本效益.
- 组织粘合剂的使用可能有助于减少周围假肢关节感染率.
- 该研究建议在全膝关节关节整形手术伤口管理中采用组织粘合剂.
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