中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
9期
1210-1212,1215
,共4页
引流术/方法%引流术/仪器和设备%外科皮瓣%存活率
引流術/方法%引流術/儀器和設備%外科皮瓣%存活率
인류술/방법%인류술/의기화설비%외과피판%존활솔
Drainage/methods%Drainage/instrumentation%Surgical flaps%Survival rate
目的 在了解不同材质引流管的引流效果基础上,探讨恒定负压引流对皮瓣成活的影响.方法 选用临床上最常用的PVC聚氯乙烯管、乳胶管和硅胶管进行管壁变形的临床负压值及弹性复原性能观察,同时引流皮瓣,对比观察不同时相的引流量,确定最佳临床皮瓣用引流管材质.后随机设计三组皮瓣,分别以恒定负压引流装置、无恒定负压引流装置以及单纯引流管(无负压)引流皮瓣,于不同时相观察皮瓣成活面积,统计分析三种不同引流方式对皮瓣引流量的影响和皮瓣成活面积的作用.结果 硅胶管引流更为充分和有效;恒定负压引流皮瓣的液体量最多,引流最充分,皮瓣愈合率最高,愈合更好.结论 恒定负压在皮瓣引流中能使引流更加充分,并促进了创面的快速愈合,而硅胶管最适用于皮瓣引流.
目的 在瞭解不同材質引流管的引流效果基礎上,探討恆定負壓引流對皮瓣成活的影響.方法 選用臨床上最常用的PVC聚氯乙烯管、乳膠管和硅膠管進行管壁變形的臨床負壓值及彈性複原性能觀察,同時引流皮瓣,對比觀察不同時相的引流量,確定最佳臨床皮瓣用引流管材質.後隨機設計三組皮瓣,分彆以恆定負壓引流裝置、無恆定負壓引流裝置以及單純引流管(無負壓)引流皮瓣,于不同時相觀察皮瓣成活麵積,統計分析三種不同引流方式對皮瓣引流量的影響和皮瓣成活麵積的作用.結果 硅膠管引流更為充分和有效;恆定負壓引流皮瓣的液體量最多,引流最充分,皮瓣愈閤率最高,愈閤更好.結論 恆定負壓在皮瓣引流中能使引流更加充分,併促進瞭創麵的快速愈閤,而硅膠管最適用于皮瓣引流.
목적 재료해불동재질인류관적인류효과기출상,탐토항정부압인류대피판성활적영향.방법 선용림상상최상용적PVC취록을희관、유효관화규효관진행관벽변형적림상부압치급탄성복원성능관찰,동시인류피판,대비관찰불동시상적인류량,학정최가림상피판용인류관재질.후수궤설계삼조피판,분별이항정부압인류장치、무항정부압인류장치이급단순인류관(무부압)인류피판,우불동시상관찰피판성활면적,통계분석삼충불동인류방식대피판인류량적영향화피판성활면적적작용.결과 규효관인류경위충분화유효;항정부압인류피판적액체량최다,인류최충분,피판유합솔최고,유합경호.결론 항정부압재피판인류중능사인류경가충분,병촉진료창면적쾌속유합,이규효관최괄용우피판인류.
Objective To explore the drainage effect of drainage tube with different materials on the basis of a constant nega tive pressure drainage,and its impact on flap survival.Methods The most common clinical used Polyvinyl chloride resin (PVC)pipe,latex tubes,silicone tube drainage tubes,and flaps were compared at different phases of the drainage,to determine the best clinical flap with drainage material.After three groups of flaps were designed,including a constant negative pressure drainage device,without a constant negative pressure drainage system,and drainage alone (no negative pressure) drainage flap,the flap survival was observed at different phase space.Three different drainage drainage ways of the flap and the flap survival area of effect were statistically analyzed.Results The silicone tube drainage was more fully and effectively.Constant negative pressure drainage volume of liquid was up to the flap with drainage to the fullest,the highest rate of skin flap healing,and better healing.Conclusions The constant negative pressure in the drainage of the flap makes drainage more fully,and promotes rapid healing of wounds,while the silicone tube is suitable for flap drainage.
