人工全髋关节置换术后关节腔引流管留置与管理方案的现状

Placement of drainage tube in articular cavity and management schemes after total hip arthroplasty

人工全髋关节置换术后出血量较多,因手术方式及手术部位特殊的解剖结构等原因,一般情况术后常规留置引流管,可有效降低术后感染率,防止感染所致切口周围瘢痕粘连。但是留置后夹闭与否,开放和夹闭引流管的利与弊,及夹闭后通过何种夹闭方案尽可能减少出血量等情况都值得研究。现对全髋关节置换术后关节腔引流管留置与管理方案的临床研究进展进行综述。

In general, the patients who undergo total hip arthroplasty （THA） receive the placement of a drainage tube due to postoperative blood loss, surgical procedure, and the special anatomical structure at the surgical site. The placement of drainage tube can effectively reduce the postoperative infection rate and avoid sear adhesion around the incision caused by infection. However, it is worth investigating whether or not to clamp the drainage tube after placement, the advantages and disadvantages of opening or clamping the drainage tube, and which scheme of closed drainage should be used to minimize blood loss. In this paper, the progress in clinical studies on the placement of drainage tube in the articular cavity and the management schemes after THA is reviewed.