CAJ | 학술논문

[目的]探讨在超声定位和毫针引导下取浅表非金属异物的经验和方法。[方法]选择1999年至2012年体表留有非金属异物的患者34例，均先用超声多角度扫描确定非金属异物位置、大小、数量、形态和异物周围组织反应情况，以异物体表投影点为毫针刺入点，在超声监测下逐步调整进针角度及深度，缓慢抵近并标定异物。固定毫针，以此针为引导，逐层切开，找到并取出异物。[结果]本组33例均能顺利找到并一次性取出非金属异物，1例分两次清除，无异物残留，未损伤重要组织，创面愈合均良好。非金属异物以玻璃、砂石、竹、木质为主。[结论]超声定位、毫针引导取浅表非金属异物是一种操作简单、安全、值得推广的好方法。
[목적]탐토재초성정위화호침인도하취천표비금속이물적경험화방법。[방법]선택1999년지2012년체표류유비금속이물적환자34례，균선용초성다각도소묘학정비금속이물위치、대소、수량、형태화이물주위조직반응정황，이이물체표투영점위호침자입점，재초성감측하축보조정진침각도급심도，완만저근병표정이물。고정호침，이차침위인도，축층절개，조도병취출이물。[결과]본조33례균능순리조도병일차성취출비금속이물，1례분량차청제，무이물잔류，미손상중요조직，창면유합균량호。비금속이물이파리、사석、죽、목질위주。[결론]초성정위、호침인도취천표비금속이물시일충조작간단、안전、치득추엄적호방법。
[Objective] To analyze the experience and methods of removal the non-metal ic foreign bodies in the superficial tissue under the location of ul-trasonic and the guidance of acupuncture needle. [Method] First find the non-metal ic foreign bodies and observe the trauma around them by ultrasonic scanning, then use needle to puncture and approach the foreign bodies gradual y for location. Remove the foreign bodies according to the guidance of nee-dle in the end. [Result]Total foreign bodies could be removed easily without any remains in these cases, and trauma recovered wel . 33 cases were removed out smoothly the non-metal ic foreign bodies for just one time, and 1 case for two times. [Conclusion] Removal of the superficial non-metal ic foreign bodies under the location of ultrasonic and the guidance of needle is a great method of security,operating simply,being worthy of popularization through comparing with other methods.