Analysis of the Clinical Efficacy of Intravenous Application of Hemostatic Drugs in Improving the Clarity of Vision Under Endoscope, Perioperative Bleeding Volume and Anti-inflammatory Effect of Spinal Endoscopic Lumbar Fusion

2023KL-138

To study the clinical efficacy of carosodiumsulfonate and desmopressin in improving the clarity of vision under endoscope, perioperative bleeding volume and anti-inflammatory effect in endoscopic lumbar fusion

2024-03-28

2024-12-30

2025-06-29

Not yet recruiting

Early phase I

126

Inclusion Criteria: 1. Patients, aged 35-65 years old, who were diagnosed as single-segment lumbar spondylolisthesis without spondylolysis based on imaging data and underwent endoscopic lumbar interbody fusion. 2. In patients with normal platelet count, blood coagulation function. 3. No history of major lumbar trauma and previous lumbar surgery. 4. No allergy history, contraindications and serious adverse reactions to desmopressin and carosodiumsulfonate. 5. American Society of Anesthesiologists (ASA) classification: grade 1-2 6. The participants and their family members were informed of the nature of the study, understood the provisions of the study, complied well, and signed informed consent Exclusion Criteria: 1. Patients who do not consent to participate in the trial. 2. Poorly controlled hypertension with systolic blood pressure \>180 mmHg or diastolic blood pressure \>110 mmHg. 3. People with mental illness, or poor compliance of patients. 4. Patients with severe liver function impairment and creatinine clearance \<20ml/min. 5. Patients with coagulopathy or inability to tolerate surgery. 6. Patients with other lumbar spine diseases or pulmonary tuberculosis. 7. ASA anesthesia level 3 or higher. 8. Patients with a long history of smoking, alcohol abuse, or contraceptive drug abuse. 9. Patients with serious heart disease, diabetes. 10. Imaging tip is merged with other lumbar disease or accompanied by lumbar spondylolysis patients. 11. Pregnant women. 12. Patients with a history of major lumbar trauma or lumbar surgery.

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2024-03-15