하악전돌증 환자의 하악지 시상분할 골절단술에서 자가수혈의 유용성

한상정; 장주민; 오한석; 이해경; 이정녀; 이수운; 박상준; 김우형

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하악전돌증 환자의 하악지 시상분할 골절단술에서 자가수혈의 유용성
Availability of autologous transfusion in bilateral sagittal split ramus osteotomy for mandibular prognathism

대한구강악안면외과학회지 2007년 33권 5호 p.524 ~ 529

한상정, 장주민, 오한석, 이해경, 이정녀, 이수운, 박상준, 김우형,

소속 상세정보

한상정 ( Han Sang-Jeong ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과
장주민 ( Zang Ju-Min ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과
오한석 ( Oh Han-Seok ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과
이해경 ( Lee Hae-Kyung ) - 인제대학교 의과대학 부산백병원 치과학교실 교정과
이정녀 ( Lee Jeong-Nyeo ) - 인제대학교 의과대학 부산백병원 진단검사의학과
이수운 ( Lee Su-Woon ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과
박상준 ( Park Sang-Jun ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과
김우형 ( Kim Woo-Hyung ) - 인제대학교 의과대학 부산백병원 치과학교실 구강악안면외과

KMID : 0355620070330050524

Abstract

Objectives: Autologous transfusion is frequently used with orthognathic surgery. The necessity of autologous transfusion has begun to question alone in bilateral sagittal split ramus osteotomy. The aim of this study was to evaluate the availability of autologous transfusion.

Methods:The chart reviews of sixty patients who had undergone bilateral sagittal ramus osteotomy were done. The subjects were divided into two groups : In experimental group, 30 patients who autodonated 320ml in the preoperative 3 weeks actually received a transfusion in the postoperative 6 hours were included. In control group, 30 patients who underwent the same operation without preoperative donation and any other transfusion were included. Hemoglobin, hematocrit, and changes of these values in both groups were evaluated.

Results: 1. From postoperative 3 hours to postoperative 1 day, the increases of hemoglobin(0.8g/dL in experimental group, 0.2g/dL in control group) and hematocrit(0.3% in experimental group, 0.6% in control group) were not statistically significant between both groups. 2. From postoperative 1 day to postoperative 1 week, the increase of hemoglobin(0.6g/dL in experimental group, 0.3g/dL in control group) was not statistically significant between both groups. But the increase of hematocrit(2.5% in experimental group, 1.0% in control group) was statistically significant between both groups over the same period(hematocrit p=0.043). 3. On postoperative 1 week, the values of hemoglobin(12.3% in both groups) and hematocrit(35.6% in experimental group, 36.8% in control group) were not statistically significant between both groups.

Conclusions: The autologous transfusion in surgery of just a little blood loss was not effective. The most results show that there is little availability of autologous transfusion according to changes of hemoglobin and hematocrit in bilateral sagittal split ramus osteotomy.