引用本文:张万宇,陈骏星,唐世龙.预置滑线结对拔管后伤口愈合的影响[J].中国临床新医学,2020,13(4):391-394.
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预置滑线结对拔管后伤口愈合的影响
张万宇,陈骏星,唐世龙
523110 广东,中山大学附属东华医院普外二科
摘要:
[摘要] 目的 探讨预置滑线结对拔除引流管后伤口愈合的影响。方法 回顾性分析该院2019-01~2019-11间术中置入引流管的各类手术78例,术中在引流管口预先缝合置入可滑动线结,术后拔除引流管推动滑线结闭合伤口,拔管后5~7 d拆除该线结,评价伤口愈合情况。结果 78例中甲级愈合72例,愈合率为92.3%;乙级愈合3例,愈合率为3.8%;丙级愈合1例,愈合率为1.3%;2例急性阑尾炎因拔管后滑线结无法滑动对合。65例术后随访3~10个月,随访率为85.5%,64例创缘整齐、无感染者,愈合后伤口呈线状瘢痕,伤口不适感较轻微;1例瘢痕过度增生,考虑为体质原因。结论 术中预先缝合放置可滑动线结能够促进拔管后伤口甲级愈合,是一种较为实用的技巧,值得推广。
关键词:  引流管  伤口  缝合  线结
DOI:10.3969/j.issn.1674-3806.2020.04.18
分类号:R 619+.3
基金项目:
Effect of pre-inserted slidable knot on wound healing after removal of drainage tube
ZHANG Wan-yu, CHEN Jun-xing, TANG Shi-long
The Second Department of General Surgery, Tung Wah Hospital Affiliated to Sun Yat-sen University, Guangdong 523110, China
Abstract:
[Abstract] Objective To explore the effect of pre-inserted slidable knot on wound healing after removal of drainage tube. Methods A retrospective analysis was performed on 78 cases receiving various kinds of operations with drainage tubes in our hospital from January 2019 to November 2019. During the operations, the drainage tubes were sutured in advance to put the sliding suture knots. After the operations, the drainage tubes were pulled out to push the sliding suture knots to close the wounds. The suture knots were removed 5~7 days after pulling out of the tubes to evaluate the wounds healing. Results Among the 78 cases, 72 cases(92.3%) had grade A healing; 3 cases(3.8%) had grade B healing; 1 case(1.3%) had grade C healing. The sliding suture knots could not slide on a pair after extubation in 2 cases with acute appendictis. 65 cases were followed up for 3~10 months, with a follow-up rate of 85.5%. Among them, 64 cases had neat wound margin and no infections, and the healing wounds presented linear scars, and the wound discomfort was slight; one case presented hypertrophic scar, which was considered as constitutional cause. Conclusion Pre-suture and placement of slidable suture knots during surgery can promote the primary wound healing after extubation, which is a practical technique and worth promoting.
Key words:  Drainage tube  Wound  Suture  Suture knot