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中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (04) : 480 -485. doi: 10.3877/cma.j.issn.1674-134X.2020.04.015

所属专题： 文献；

综述

人工全髋关节置换术后引流管理的研究进展
刘德琳1, 徐一宏1, 韩学全1, 冯新哲1, 徐卫东1,†()   
  1. 1. 200433　上海，海军军医大学附属长海医院关节骨病外科
  • 收稿日期:2017-11-09 出版日期:2020-08-01
  • 通信作者: 徐卫东

Advances in drainage management following total hip arthroplasty

Delin Liu1, Yihong Xu1, Xuequan Han1, Xinzhe Feng1, Weidong Xu1,†()   

  1. 1. Department of Orthopedics, Changhai Hospital, Shanghai 200433, China
  • Received:2017-11-09 Published:2020-08-01
  • Corresponding author: Weidong Xu
  • About author:
    Corresponding author: Xu Weidong, Email:
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刘德琳, 徐一宏, 韩学全, 冯新哲, 徐卫东. 人工全髋关节置换术后引流管理的研究进展[J]. 中华关节外科杂志(电子版), 2020, 14(04): 480-485.

Delin Liu, Yihong Xu, Xuequan Han, Xinzhe Feng, Weidong Xu. Advances in drainage management following total hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(04): 480-485.

人工全髋关节置换术是治疗终末期髋关节病变的主要手术方式，但是考虑到髋关节周围神经血管等软组织丰富，手术创伤较大，造成大量的术中出血以及术后渗血。为了将术后渗血引出以降低血肿形成的风险，术后留置引流管一直以来都是围术期常见的处理方法。然而，近年来对于人工全髋关节置换术后是否应常规放置引流管也产生了争议，同时对于放置引流管后如何做到最佳的引流管理的问题也一直未有定论。本文就髋关节置换术后放置引流的相关问题进行了文献回顾，旨在提供围手术期相关管理经验。

关键词: 关节成形术, 置换, 髋, 引流术, 出血, 血肿

Total hip arthroplasty (THA) is the main surgical method for the treatment of end stage hip disease. Considering the abundant distribution of blood vessels, nerves and soft tissues around the hip, the surgical trauma of THA is also severe, thus leading to the massive intraoperative and postoperative bleeding. In order to drain out the postoperative bleeding and reduce the risk of hematoma formation within the hip, indwelling drainage has always been a common treatment during the perioperative period. However, in recent years, it has been a controversial issue that whether the drainage tube should be routinely placed after THA. There is still no consensus concerning the management of postoperative drainage. This review summarized the related issues of drainage placement after THA in order to provide experience for perioperative drainage management of THA.

Key words: Arthroplasty, replacement, hip, Drainage, Hemorrhage, Hematoma
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