Application of tourniquet in amputation for lower limb gangrene
10.3969/j.issn.1006-9771.2024.05.009
- VernacularTitle:止血带在下肢坏疽截肢术中的应用
- Author:
Gang TIAN
1
,
2
,
3
;
Haoyuan ZHANG
;
Jiajia SONG
;
Peng TANG
;
Hongwei MIN
;
Rui GU
;
Kemin LIU
Author Information
1. 首都医科大学康复医学院,北京市 100068
2. 中国康复研究中心北京博爱医院骨科,北京市 100068
3. 北京截肢者康复会诊中心,北京市 100068
- Keywords:
lower limb gangrene;
amputation;
tourniquet
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(5):560-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of using a tourniquet in amputation for lower limb gangrene. Methods All patients underwent amputation for lower limb gangrene from January,2009 to June,2023 in Beijing Bo'ai Hospital were reviewed,involving 41 patients with a total of 44 limbs,and they were divided into non-tourniquet group(n=28)and tourniquet group(n=16)according to whether a tourniquet was used during surgery.The am-putation field clearness,surgical bleeding,incision healing,reoperation rate within 30 days post-operation,intra-operative blood pressure and heart rate,and operation time were compared. Results The amputation field was clearer in the tourniquet group(χ2=42.385,P＜0.001),with less bleeding(Z=-2.082,P＜0.05).No tourniquet-related local damages,such as nerve damage and skin injuries,was observed in the limbs using tourniquets.The incidence of grade A of incision healing was not significantly different(χ2=0.028,P=0.624). Conclusion Application of tourniquet can improve the amputation field clearness and reduce bleeding during amputation for lower limb gangrene,without affecting incision healing.
