| 骨水泥型全膝关节置换术中脉冲灌洗生理盐水用量的研究 |
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投稿时间：2009-03-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 翁文杰 |
WENG Wen-jie |
南京大学医学院附属鼓楼医院骨科,江苏 南京 210008 |
Department of Orthopaedics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
wengwenjie@medmail.com.cn |
| 张海林 |
ZHANG Hai-lin |
南京大学医学院附属鼓楼医院骨科,江苏 南京 210008 |
Department of Orthopaedics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 华薇 |
HUA Wei |
南京大学医学院附属鼓楼医院骨科,江苏 南京 210008 |
Department of Orthopaedics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 邱旭升 |
QIU Xu-sheng |
南京大学医学院附属鼓楼医院骨科,江苏 南京 210008 |
Department of Orthopaedics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 徐志宏 |
XU Zhi-hong |
南京大学医学院附属鼓楼医院骨科,江苏 南京 210008 |
Department of Orthopaedics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第6期，第421-422页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：研究在骨水泥型全膝关节置换术(TKA)中需要多少生理盐水的脉冲冲洗能有效去除骨和骨水泥(PMMA)碎屑。
方法：2007年11月至2008年11月18例骨性关节炎患者行骨水泥型TKA,其中男6例，女12例；年龄54～77岁，平均65.1岁；病程3～9年，平均6.7年。术中用脉冲灌洗枪冲洗8次，每次1 L生理盐水。在冲洗过程中，每升冲洗完的液体分别过滤收集起来，测量其中的骨和PMMA碎屑颗粒的重量。
结果：碎屑颗粒的重量从第1 L到第8 L逐步递减，明显的差异出现在第1 L与第2 L、第2 L与第3 L、第3 L与第4 L之间，从第4 L起碎屑的重量没有明显的统计学差异。
结论：试验表明骨水泥型TKA术中脉冲灌洗4 L生理盐水能有效去除骨和PMMA的碎屑颗粒。 |
| 【关键词】节成形术,置换,膝 灌洗 盐水 生物材料 手术后并发症 |
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| Study on how much sterile saline should be used for efficient lavage during total knee arthroplasty |
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ABSTRACT
Objective: To investigate the volume of pulse lavage sufficient for removal of intraoperative bone and polymethyl methacrylate(PMMA) particles.
Methods: From 2007.11 to 2008.11,18 patients with osteoarthritis underwent cemented TKA. Among the patients,6 patients were male and 12 patients were female,ranging in age from 54 to 77 years,with an average of 61.5 years. The course of disease ranged from 3 to 9 years,mean 6.7 years. Pulse lavage with 1 L of sterile saline was performed for 8 times using a pulsatile irrigator after prothesis fixed. During pulse lavage, aspirated fluid was collected in a 1 L aliquot,and the weight of bone and PMMA particles in each fluid were measured.
Results: The weight of particles peaked in the first 1 L lavage fluid and gradually decreased until the 8th lavage fluid. Significant differences were found between the first vs second,second vs third,and third vs fourth lavage. However,no significant differences were found beyond the fourth lavage.
Conclusion: The results of this study indicates that 4 L of pulse lavage is effective for removing the bone and PMMA particles during cemented TKA. |
| KEY WORDS Arthroplasty,replacement,knee Irrigation Saline Biomaterials Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 翁文杰,张海林,华薇,邱旭升,徐志宏.骨水泥型全膝关节置换术中脉冲灌洗生理盐水用量的研究[J].中国骨伤,2009,22(6):421~422 |
| 英文格式: | WENG Wen-jie,ZHANG Hai-lin,HUA Wei,QIU Xu-sheng,XU Zhi-hong.Study on how much sterile saline should be used for efficient lavage during total knee arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(6):421~422 |
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