CAJ | 학술논문

目的探讨缝扎与肿胀麻醉技术在非肢体部位皮肤巨大良性肿瘤切除中的应用.方法对病灶位于面颈部者,在切除前单纯采用肿胀麻醉技术；对病灶位于头部与躯干部者,采用缝扎与肿胀麻醉技术,即先环绕病灶四周缝扎1圈或2圈,然后将肿胀麻醉液注射入病灶基底部,沿缝扎线内侧或2圈缝扎线中央做切口,切除病灶.结果 1次病灶切除面积154.00～2394.75 cm2,病灶下注射肿胀麻醉液150～1950ml,病灶切除前环绕病灶缝扎最长耗时1h,术中出血明显减少.结论缝扎与肿胀麻醉技术有助于减少非肢体部位皮肤巨大良性肿瘤切除术中出血,增加手术安全性.
목적 탐토봉찰여종창마취기술재비지체부위피부거대량성종류절제중적응용.방법 대병조위우면경부자,재절제전단순채용종창마취기술；대병조위우두부여구간부자,채용봉찰여종창마취기술,즉선배요병조사주봉찰1권혹2권,연후장종창마취액주사입병조기저부,연봉찰선내측혹2권봉찰선중앙주절구,절제병조.결과 1차병조절제면적154.00～2394.75 cm2,병조하주사종창마취액150～1950ml,병조절제전배요병조봉찰최장모시1h,술중출혈명현감소.결론 봉찰여종창마취기술유조우감소비지체부위피부거대량성종류절제술중출혈,증가수술안전성.
Objective To study the application of suture and ligature and swelling technique in the removal of giant skin benign tumor in none-extremity position.Methods The swelling technique was merely used in those whose lesions were located on face and neck before operation.If the lesions were located on scalp or truck,suture and ligature and swelling technique would be combined in the treatment.Firstly,the lesion was sutured and ligated one or two circles all around.Then swelling fluid was injected under lesion,and incision was done inside or between sutures.Results The area of lesion once excised was 154.00-2394.75 cm2,and the quantity of swelling fluid was 150 1950 ml.The longest time to suture and to ligate the lesion was one hour,and operative bleeding was obviously decreased.Conclusions Suture,ligature and swelling technique might be helpful to decrease operative bleeding during excision of giant skin benign tumor in none-extremity position,and therefore increase operative safety.