关节镜术中止血方法探讨

RESERACH INTO HEMOSTASIS IN THE COURSE OF ARTHROSCOPY

目的 :探讨关节冲洗液加副肾素止血法在关节镜术中的止血效果及其副作用。方法 :用 1mg/ml的副肾素 1支加入装有 10 0 0ml生理盐水的冲洗吊瓶中 ,配成 1mg/ 10 0 0ml浓度 ,在镜下手术开始时使用 ,观察术中止血效果、血压、心率变化及术后并发症。结果 :144例 15 9膝术中止血有效率 97.49% ,优良率 81.77% ,用药后血压超过正常 1例 ,心率均在正常范围。术后血关节发生率 9.2 3% ,无其他并发症。结论 :关节冲洗液加副肾素止血法可用于绝大多数膝关节镜术下手术 ,操作简单 ,不受时限 ,使用安全 ,止血效果好 ,能有效避免止血带法常见的各类并发症。

Objective:Arthroscopy accord with the developmental trendency of modern surgery,and this method is better than the opening operating,but must be adopt the hemostatic method in the coures of arthroscopy in order to keep clear field of vision of under arthroscopy.Though traditional technique was a good hemostatic method,it influenced examinnational autehenticity of tissue properties of under arthroscopy and it gave rise to higher complications of postoperation.To investigate a new hemostatic method that overcome defects of technique,it is important significance that improve curation effect of arthroscopic postoperation.To research into hemostatic effect and side effect of arthro-douching liquor plus accessory suprarenin in the course of arthroscopy.Methods:1mg of accessory suprarenin was added into the douching bottle with 1000ml of normal saline.The 1mg/1000ml douching liquor was used at the beginning of the operation.Then,observd the heostatic effect,the changes of BP and heart rate and post-operation complications.Results:In the 159 Knee joint operations (144 cases) the effective rate of hemostasis was 97.49%,while the rate of good result was 81.77%.In one case,the BP exceeded normal scope after medication.All heart rates were within normal scope.The incidence rate of hemarthrosis was 9.03%.No other complication occurred.Conclusions:Hemostasis of douhing liquor plus accessory suprarnin could be applied to most operations of under the arthroscopy.It is easy to perform,no time limit,safe,good hemostatic effect and could effectively avoid various complications arising from hemostasis with technique.