驱血止血弹性束紧套环在下肢淋巴吸脂减容术中的临床应用

doi:10.13481/j.1671-587X.20240324

Abstract

Abstract:

Objective To analyze the application effect of narrow elastic disposable tourniquet in liposuction reduction surgery for the lower extremity lymphedema，and to provide the basis for its clinical application. Methods The retrospective analysis was conducted on the clinical data of 309 patients who underwent liposuction reduction surgery for the lower extremity lymphedema. The patients were divided into non-narrow elastic disposable tourniquet group （n=163） and narrow elastic disposable tourniquet group （n=146）. The intraoperative blood loss， rates of allogenic blood transfusion， incidence of adverse reactions related to dilation fluid into blood， incidence of blood pressure fluctuations， and preoperative and postoperative 24 h levels of hemoglobin （Hb） and albumin （Alb） of the patients in two groups were compared. Results Compared with non-narrow elastic disposable tourniquet group， the intraoperative blood loss， allogenic blood transfusion rate， and incidence of adverse reactions related to dilation fluid into blood of the patients in narrow elastic disposable tourniquet group were decreased （P<0.05）， while the incidence of intraoperative blood pressure fluctuations was increased （P<0.05）. Compared with non-narrow elastic disposable tourniquet group， the ΔHb level （preoperative Hb level-postoperative 24 h Hb level） and ΔAlb level（preoperative Alb level-postoperative 24 h Alb level） of the patients in narrow elastic disposable tourniquet group were decreased （P<0.05 or P<0.01）. Conclusion The application of narrow elastic disposable tourniquet in liposuction reduction surgery for the lower extremity lymphedema can effectively reduce the intraoperative bleeding and the need for allogenic transfusions， decrease the level of ΔAlb， and prevent the occurrence of adverse reactions related to dilation fluid into blood. However， attention should be given to the potential adverse reactions related to intraoperative circulatory fluctuations.

Key words: Narrow elastic disposable tourniquet, Lymphedema, Liposuction reduction, Adverse reaction, Intraoperative bleeding

CLC Number:

R618

Yuan GAO,Xiaorong QU,Hongwei ZHENG,Wenbing SHEN,Kun HAO,Lei GUAN. Clinical application of narrow elastic disposable tourniquet in liposuction reduction for lower limb lymphedema[J].Journal of Jilin University(Medicine Edition), 2024, 50(3): 791-796.

Figures/Tables 4

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References 23

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Group	n	ASA		Age(year)	Gender		BMI(kg·m^－2)
Group	n	Ⅱ	Ⅲ	Age(year)	Male	Female	BMI(kg·m^－2)
Non-narrow elastic disposable tourniquet	163	154	9	55.4±10.2	1	162	26.9±3.7
Narrow elastic disposable tourniquet	146	141	5	55.4±10.8	4	142	26.4±3.6
t/χ²		0.783		0.016	1.055		1.183
P		0.376		0.988	0.304		0.238
Group	n	Volume of liposuction (V/mL)		Operation time (t/min)		Anesthesia duration (t/min)
Non-narrow elastic disposable tourniquet	163	3 021.2±1 289.3		150.4±41.3		199.6±47.6
Narrow elastic disposable tourniquet	146	3 209.3±1 382.1		156.3±40.4		208.9±44.9
t/χ²		1.238		1.280		1.771
P		0.217		0.201		0.078

Group	n	Intraoperative blood loss （V/mL）	Rate of allogenic blood transfusion （η/%）	Incidence of adverse reactions related to dilation fluid into blood （η/%）	Incidence of intraoperative blood pressure fluctuations（η/%）
Non-narrow elastic disposable tourniquet	163	583.1±225.9	21(12.9)	8(4.9)	10(6.1)
Narrow elastic disposable tourniquet	146	476.7±173.1	9(6.2)	0(0)	21(14.4)
t/χ²		4.608	3.966	—	5.806
P		<0.01	0.046	0.008	0.016

Group	n	ΔHb	ΔAlb
Non-narrow elastic disposable tourniquet	142	28.4±10.9	12.0±3.5
Narrow elastic disposable tourniquet	137	25.8±9.6	10.0±3.0
t		2.110	5.185
P		0.036	<0.01

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[2]	MENG Ying, LIU Chun-shui, LI Wei, CUI Jiu-wei. Efficacy \|analysis of imatinib in \|treatment \|of patients with chronic myeloid leukemia [J]. J4, 2012, 38(3): 563-566.

Clinical application of narrow elastic disposable tourniquet in liposuction reduction for lower limb lymphedema

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