在普通整形手术手术的外科医生和关节中,关节镜液的使用变化很高
Andrew B Rees1, Calvin C Chandler1, V V N Manohar Devarasetty1
1Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|January 26, 2026
概括
关节镜液的使用因手术而异,而肩膀需要最多. 外科医生在流体消耗方面也有很大的差异,在这项研究中,像上腺素和胺酸这样的辅助剂并没有减少流体消耗.
科学领域:
- 整形外科手术 整形外科手术
- 手术效率的提高 手术效率的提高
- 资源管理 资源管理
背景情况:
- 关节镜手术需要大量的液体,这会影响手术费用和浪费.
- 优化流体使用至关重要,尤其是在资源有限的时期.
- 了解流体消耗模式是提高选择性骨科手术效率的关键.
研究的目的:
- 分析关节镜液体体积在常见的可选整形手术过程中的使用情况.
- 评估流体消耗模式的外科医生间的一致性.
- 评估降血减血补充剂对流体使用的影响.
主要方法:
- 在门诊外科手术中心对449例成人关节镜病例 (肩膀,膝盖,肘部,脚) 的横截面分析.
- 对体积,手术类型,外科医生以及使用特兰胺酸 (TXA) 或上腺素的流体使用进行了分析.
- 用差异测试的分析来确定统计学意义.
主要成果:
- 肩部关节镜检查的平均液体体积最高 (16,582毫升),其次是膝盖 (8,677毫升),肘部 (6,489毫升) 和脚 (3,534毫升).
- 在流体使用中观察到显著的外科医生间变化 (P = .0001).
- 无论是上腺素还是TXA都没有显著减少整体流体消耗 (P > .05).
结论:
- 关节镜液的消耗量在不同解剖区域和不同外科医生之间有很大差异.
- 目前的辅助药物如上腺素和TXA在这个队列中并没有显著减少液体消耗.
- 可能需要使用标准化方案进行进一步的研究,以确认补充剂在减少流体消耗方面的有效性.
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