在腰椎脊柱狭窄症中使用液体凝,接受单侧双门内镜检查:一个前性,随机对照试验
Hao Yan1,2,3, Mei Gao4, Yu Zhang1,2,3
1Department of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Orthopaedic surgery
|February 24, 2025
概括
施尔吉弗洛血静矩阵 (SHM) 有效地减少了腰椎狭窄 (LSS) 手术期间的出血. 这种凝矩阵可以改善血液静止,缩短手术时间,而不会增加并发症.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 手术性静血 静血是指手术性静血
背景情况:
- 腰椎脊柱狭窄症 (LSS) 通常需要手术减压.
- 单侧双门内镜单侧拉米切除术用于双侧减压 (UBE-ULBD) 是一种常见的手术方法.
- 在UBE-ULBD期间,外周静脉出血可能导致并发症.
研究的目的:
- 评估Surgiflo血静矩阵 (SHM) 治疗UBE-ULBD期间出血的疗效和安全性.
- 为了比较接受SHM和未接受SHM的患者之间的结果.
主要方法:
- 一项随机对照试验,涉及96名接受UBE-ULBD的LSS患者.
- 患者被分为两个组:SHM (n=48) 和非SHM (n=48).
- 主要结局包括失血,排水和血静成功;次要结局评估并发症和手术参数.
主要成果:
- 在SHM组显示显著减少了手术内流血和术后排水 (p<0.05).
- 在SHM组观察到更高的3分钟血静成功率 (p<0.05).
- 在SHM组中,手术时间显著缩短 (p<0.05),并没有增加并发症.
结论:
- 在LSS的UBE-ULBD中,SHM有效地减少了手术内和术后出血.
- 使用SHM不会引入额外的外科并发症.
- SHM为这种微创脊椎手术提供了安全有效的静血选择.
相关概念视频
01:19Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...