首页|局部应用氨甲环酸在脊柱外科中的研究进展

局部应用氨甲环酸在脊柱外科中的研究进展

扫码查看
氨甲环酸(TXA)属于抗纤溶药,具有止血特性.TXA于20世纪60年代首次引入临床实践,受到广泛关注,已被证明可有效减少围手术期出血和创伤性出血.在骨科手术领域,也证明了 TXA在全膝、全髋关节置换术中减少出血的有效性,近年来在脊柱手术中的应用也越来越多.TXA可静脉应用或局部应用,由于静脉血栓栓塞症的潜在风险增加,对其安全性仍有疑问.与静脉应用相比,局部应用TXA可以减少全身吸收并减少副作用.本文针对局部应用TXA在脊柱手术围手术期减少出血的有效性及安全性进行综述.
Research progress on the topical use of tranexamic acid in spinal surgery
Tranexamic acid(TXA)is an anti-fibrinolytic drug with hemostatic properties.First introduced into clinical practice in the 1960s,TXA has received much attention.It has been shown to be effective in reducing perioperative and traumatic bleeding.In the field of orthopaedic surgery,TXA has also been demonstrated its effectiveness in total knee and hip arthroplasty,and its use in spinal surgery has been increasing in recent years.TXA can be administered intravenously or topically,but there is still concerns regarding its safety due to the potential increased risk of venous thromboembolism.Compared with intravenous administration,topical application of TXA can reduce systemic absorption and reduce side effects.This review summarizes the efficacy and safety of topical use of TXA in reducing bleeding during the perioperative period of spinal surgery.

SpineLumbar SpineScoliosisTranexamic AcidBleedingIntravenous UseLocal Use

叶朝阳、梁锦前、张振卓、刘一兵

展开 >

中国医学科学院北京协和医学院北京协和医院骨科,北京 100730

脊柱 腰椎 脊柱侧凸 氨甲环酸 出血 静脉 局部应用

中央高水平医院临床科研业务费项目

2022-PUMCH-B-002

2024

中华骨与关节外科杂志
中国医学科学院 中国协和医学院

中华骨与关节外科杂志

CSTPCD北大核心
影响因子:0.906
ISSN:2095-9958
年,卷(期):2024.17(2)
  • 44