氧化再生纤维素和可吸收明胶海绵在 ACDF 术中的止血作用对比

摘要

目的：比较氧化再生纤维素（ORC）和可吸收明胶海绵（AGS）在颈椎前路间盘切除融合（ACDF）术中的止血效果。方法 ACDF手术患者356例，术中191例（ ORC组）使用ORC止血，165例（ AGS组）使用AGS止血。比较两组手术时间、术中出血量和术后引流量。结果 ORC组和AGS组的手术时间分别为（81．5±9．9）、（88．6±10．8）min，P＝0．062；术中出血量分别为（55．3±11．2）、（69．4±13．2） mL，P＝0．034；术后引流量分别为（35．5±13．5）、（51．2±16．8）mL，P＝0．029。 AGS组因术后出现颈部急性血肿接受探查术1例。结论 ORC相比AGS可以减少ACDF术中出血量和术后引流量，提高手术安全性。%Objective To compare the hemostatic effect between oxidated regenerated cellulose ( ORC) and absorba-ble gelatin sponge ( AGS) during anterior cervical discectomy and fusion procedure ( ACDF) .Methods 356 patients un-derwent the ACDF procedure were divided into ORC group (191 patients) and AGS group (165 patients).The operative duration, the volume of blood loss and the volume of drainage between two groups were compared.Results The average operative duration in ORC and AGS groups was (81.5 ±9.9) min and (88.6 ±10.8) min (P=0.062).The average op-erative blood loss in ORC and AGS groups was (55.3 ±11.2) mL and (69.4 ±13.2) mL (P=0.034).The average post-operative drainage in ORC and AGS groups was (35.5 ±13.5) mL and (51.2 ±16.8) mL (P=0.029).One pa-tient in AGS group underwent exploration due to acute neck hematoma post-operatively.Conclusion Compared with AGS, ORC can obviously decrease the operative blood loss and drainage, increase the safety of operation.