无血:在内镜解压课程和内镜脊柱手术文献中对血液损失消除的范围审查
Alison Ma1,2, Joseph Reidy2,3, Ralph J Mobbs1,2,3,4
1Faculty of Medicine, University of New South Wales, Sydney, Australia.
Journal of spine surgery (Hong Kong)
|January 9, 2026
概括
有效的血液静止对于内镜脊柱手术至关重要. 一个新的FIBRE协议提供了一种多模式的方法来管理手术内出血,改善可视化和患者在微创脊柱手术的结果.
科学领域:
- 最少侵入性的脊柱手术
- 外科手术静血 静血是什么
背景情况:
- 内镜脊柱手术提供了诸如减少创伤和更快恢复等好处.
- 有效的血液静止对于视觉清晰度至关重要,并尽量减少这些程序期间的并发症.
研究的目的:
- 审查当前的实践和研究在内镜脊柱手术中的血液静止.
- 开发一个切实可行的框架来管理手术内出血.
主要方法:
- 使用PubMed,Embase和Cochrane图书馆进行了范围审查.
- 包括在内镜脊柱手术中报告血液静止技术的研究.
- 提取了有关手术技术,工具,药物和结果的数据.
主要成果:
- 确定了各种血液静止方法,包括制,酸,密封剂,骨和灌.
- 单一的方法是不够的;多模式的方法是必要的有效的静血.
- 提出了FIBRE协议 (液体管理,初始暴露,骨出血控制,红色场景,额外考虑).
结论:
- FIBRE 协议为管理出血和改善手术结果提供了一个框架.
- 整合这些实践可以完善技术,提高患者在微创脊柱手术中的结果.
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