[1]郑富文 马阳 唐金烁 彭亚臣 左建林.导航TKA术后引流放置与否对患者预后影响：一项队列研究[J].中华老年骨科与康复电子杂志,2025,(06):329-336.[doi:10.3877/cma.j.issn.2096-0263.2025.06.002]
　Zheng Fuwen,Ma Yang,Tang Jinshuo,et al.Impact of suction drainage on patient outcomes following computer-assisted total knee arthroplasty: A cohort study[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(06):329-336.[doi:10.3877/cma.j.issn.2096-0263.2025.06.002]
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导航TKA术后引流放置与否对患者预后影响：一项队列研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2025年06期
页码:
329-336
栏目:
膝关节
出版日期:
2025-12-05

文章信息/Info

Title:
Impact of suction drainage on patient outcomes following computer-assisted total knee arthroplasty: A cohort study
作者:
郑富文 马阳 唐金烁 彭亚臣 左建林
130000 吉林大学中日联谊医院骨科，骨关节与运动医学病区
Author(s):
Zheng Fuwen;  Ma Yang;  Tang Jinshuo;  Peng Yachen;  Zuo Jianlin.
Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun 130000, China
关键词:
膝关节骨关节炎;  全膝关节置换术;  计算机导航手术;  负压引流
Keywords:
Knee osteoarthritis;  Total knee arthroplasty;  Computer-assisted surgery;  Suction drainage
DOI:
10.3877/cma.j.issn.2096-0263.2025.06.002
文献标志码:
A
摘要:
目的　探究计算机导航全膝关节置换术术中放置关节腔引流对术后失血以及关节功能恢复的影响。方法　前瞻性收集2022年10月至2023年12月于我院行初次单侧计算机导航全膝关节置换的100例患者。采用随机数字表法决定关闭切口前是否放置负压引流管，从而将患者分为引流组（50例）和非引流组（50例），其余治疗相同。100例患者获得随访，随访时间10～24个月，平均（15.39±4.46）个月。其中男19例，女81例。引流组平均年龄（66.90±6.43）岁，非引流组平均年龄（66.04±6.32）岁。对比两组患者术后失血情况，记录术后关节功能指标及并发症发生情况，并进行统计分析。结果　①两组隐性失血、总失血量差异无统计学意义（P＞0.05）。②两组术后第3天、3个月、6个月膝关节活动度及术前、3个月及6个月时HSS评分及WOMAC评分进行重复测量设计的方差分析显示组间差异无统计学意义（P＞0.05），组别与时间点间未观察到显著的交互作用（P＞0.05），不同时间点间差异有统计学意义（P＜0.05）。③两组出院术后切口渗出天数、住院时间并发症发生率差异无统计学意义（P＞0.05）。④两组患者术后切口均Ⅰ期甲等愈合。结论　计算机导航全膝关节置换术后放置引流管与否对术后失血及膝关节功能恢复、术后并发症的发生无明显影响。
Abstract:
Objective To investigate the effect of intraoperative placement of intra-articular drainage on postoperative blood loss and functional recovery in computer-navigated total knee arthroplasty (TKA). Methods A total of 100 patients who underwent primary unilateral computer-navigated TKA at our hospital between October 2022 and December 2023 were included. Patients were divided into a drainage group (50 cases) and a non-drainage group (50 cases) based on whether a negative-pressure drainage tube was placed before wound closure, with all other treatments being identical. All 100 patients were followed up for 10-24 months (mean 15.39±4.46 months). The cohort included 19 males and 81 females, with a mean age of 66.90±6.43 years in the drainage group and 66.04±6.32 years in the non-drainage group. Postoperative blood loss, joint functional indicators, and complications were compared between the two groups, followed by statistical analysis. Results ① No statistically significant difference was found in hidden blood loss or total blood loss between the two groups (P>0.05). ② Repeated measures ANOVA of knee range of motion (ROM) on postoperative day 3, month 3, and month 6, as well as HSS scores and WOMAC scores preoperatively and at months 3 and 6, revealed no significant intergroup differences and no interaction between group and time points. Significant differences were observed across time points. ③ No statistically significant differences were found in postoperative wound exudation duration, hospital stay, or complication rates (P>0.05). ④ All incisions healed primarily without complications in both groups. Conclusion Placement of a drainage tube after computer-navigated TKA has no significant effect on postoperative blood loss, functional recovery of the knee joint, or the incidence of postoperative complications.

相似文献/References:

[1]张客松 侯卫坤 宇文星 鲁超.氨甲环酸和氨基己酸在全膝关节置换术围手术期止血效果和药物安全性对比[J].中华老年骨科与康复电子杂志,2025,(06):321.[doi:10.3877/cma.j.issn.2096-0263.2025.06.001]
　Zhang Kesong,Hou Weikun,Yuwen Xing,et al.Comparison of hemostatic effect and drug safety between tranexamic acid and aminocaproic acid during perioperative period of Total Knee Arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(06):321.[doi:10.3877/cma.j.issn.2096-0263.2025.06.001]

备注/Memo

备注/Memo:
基金项目：吉林省财政厅卫生科研人才专项项目（2024SCZ13）
更新日期/Last Update: 2026-05-18