摘要
目的评价一种新型驱血止血弹性束紧套环(SEET)在上肢淋巴水肿抽吸术中的应用效果。方法回顾性分析2017年1月至2022年6月于首都医科大学附属北京世纪坛医院行上肢淋巴水肿抽吸术的159例患者临床资料。其中54例术中采用SEET(SEET组),105例未采用(No‑SEET组)。应用倾向性评分匹配方法进行匹配,比较两组患者的手术指标和并发症情况。通过多重线性回归分析术中出血量的影响因素。结果采用倾向性评分方法成功匹配49对患者。SEET组年龄(57.7±8.9)岁,No‑SEET组(56.8±9.1)岁。与No‑SEET组相比,SEET组出血量较少[(311±164)ml比(437±173)ml,P<0.001]。多重线性回归分析结果显示,术中出血量的影响因素包括年龄(β=-0.142,P=0.041)、采用SEET(β=-0.249,P=0.002)、手术时间(β=0.195,P=0.010)和吸出脂肪混合物量(β=0.464,P<0.001)。结论SEET在上肢淋巴水肿抽吸术中应用安全有效,可明显减少出血量,缓解血源短缺。
Objective To evaluate the effect of a new type of sterile elastic exsanguination tourniquet(SEET)in aspiration surgery for upper limb lymphedema.Methods The clinical data of 159 patients who underwent aspiration surgery for upper limb lymphedema from January 2017 to June 2022 in the Beijing Shijitan Hospital,Capital Medical University were retrospectively analyzed.Among them,54 patients were treated with SEET(SEET group),while 105 patients were not treated with SEET(No‑SEET group).The propensity score matching method was used,and the surgical indicators and complications were compared between the two groups.The factors affecting intraoperative bleeding volume were analyzed through multiple linear regression analysis.Results A total of 49 pairs of patients were successfully matched by the propensity score method.The age of patients in the SEET and No‑SEET groups was(57.7±8.9)years and(56.8±9.1)years,respectively.Compared with the Non‑SEET group,the SEET group had less bleeding volume[(311±164)ml vs(437±173)ml,P<0.001].The results of multiple linear regression analysis showed that the factors affecting intraoperative bleeding volume included age(β=-0.142,P=0.041),using the SEET(β=-0.249,P=0.002),surgical time(β=0.195,P=0.010)and the amount of fat mixture sucked out(β=0.464,P<0.001).Conclusions The clinical application of the SEET in aspiration surgery for upper limb lymphedema is safe,and can significantly reduce the bleeding volume and alleviate blood shortage.
作者
刘璇
郝昆
王仁贵
陈麟凤
沈文彬
Liu Xuan;Hao Kun;Wang Rengui;Chen Linfeng;Shen Wenbin(Department of Blood Transfusion,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Lymphatic Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Radiology,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2023年第30期2330-2334,共5页
National Medical Journal of China
基金
国家自然科学基金(61876216)
首都医科大学附属北京世纪坛医院青年基金(2022‑q16)
