Effectiveness of the ROBODOC system in preventing intraoperative pulmonary embolism
Effectiveness of the ROBODOC system in preventing intraoperative pulmonary embolism
复制标题
ROBODOC系统预防术中肺栓塞的有效性
DOI：
10.1080/00016470308540839
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
T. Ochi
中科院分区：
文献类型：
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作者：
K. Hagio;N. Sugano;M. Takashina;T. Nishii;H. Yoshikawa;T. Ochi
术中肺栓塞不仅发生在骨水泥型全髋关节置换术中，也发生在非骨水泥型全髋关节置换术（THA）中。我们通过使用经食管超声心动图和血流动力学监测来确定ROBODOC股骨铣削系统是否可以减少术中肺栓塞。我们对71例（75髋）患者进行了前瞻性临床试验，将其分为两组：第1组，46例（50髋）接受非骨水泥型THA，使用ROBODOC准备股骨髓腔;第2组，25名接受传统非骨水泥THA手术的患者（25个髋关节），在股骨准备期间进行单独测量，插入股骨柄和重新定位髋关节。第1组中严重栓塞事件的发生率低于第2组。我们的研究结果表明，ROBODOC股骨研磨系统可降低非骨水泥型THA期间临床显著肺栓塞的风险
Intraoperative pulmonary embolism occurs not only during cemented but also during cementless total hip arthroplasty (THA). We determined whether the ROBODOC femoral milling system can reduce intraoperative pulmonary embolism, by using of transesophageal echocardiography and hemo-dynamic monitoring. We did a prospective clinical trial with 71 patients (75 hips) who were divided into 2 groups: group 1, 46 patients (50 hips) who underwent cementless THA with preparation of the femoral canal using ROBODOC; group 2, 25 patients (25 hips) who underwent conventional cementless THA surgery in whom separate measurements were made during preparation of the femur, insertion of the stem and relocation of the hip. The incidence of severe embolic events was lower in group 1 than in group 2. Our findings suggest that the ROBODOC femoral milling system may reduce the risk of clinically significant pulmonary embolism during cementless THA