| 预留缝线延期逐渐收紧在切口延期闭合的临床应用 |
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Received:December 07, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 徐可林 |
XU Ke-lin |
无锡市第九人民医院骨科, 江苏 无锡 214062 |
Department of Orthopaedics, the Ninth People's Hospital of Wuxi, Wuxi 214062, Jiangsu, China |
wxsyqd@163.com |
| 吴永伟 |
WU Yong-wei |
无锡市第九人民医院骨科, 江苏 无锡 214062 |
Department of Orthopaedics, the Ninth People's Hospital of Wuxi, Wuxi 214062, Jiangsu, China |
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| 顾三军 |
GU San-jun |
无锡市第九人民医院骨科, 江苏 无锡 214062 |
Department of Orthopaedics, the Ninth People's Hospital of Wuxi, Wuxi 214062, Jiangsu, China |
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| 宋升 |
SONG Sheng |
无锡市第九人民医院骨科, 江苏 无锡 214062 |
Department of Orthopaedics, the Ninth People's Hospital of Wuxi, Wuxi 214062, Jiangsu, China |
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| 孙振中 |
SUN Zhen-zhong |
无锡市第九人民医院骨科, 江苏 无锡 214062 |
Department of Orthopaedics, the Ninth People's Hospital of Wuxi, Wuxi 214062, Jiangsu, China |
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| 期刊信息：《中国骨伤》2014年27卷，第11期，第952-954页 |
| DOI：10.3969/j.issn.1003-0034.2014.11.016 |
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目的: 探讨预留缝线延期逐渐收紧在切口延期闭合的应用效果.
方法: 2005年1月至2013年6月,67例切口需要延期闭合的患者采用预留缝线延期逐渐收紧闭合方法.男37例,女30例,平均年龄40岁(12～75岁).其中,小腿或前臂双骨折急诊或急性期手术切口张力高闭合困难36例,超过清创缝合时间的开放性伤口13例,感染性伤口9例,筋膜室综合征减张切口9例.用4号缝线缝合切口,每根缝线两端各预留4～6 cm.视肿胀消退情况,在术后第2～4天开始,用双结法逐渐收紧预留缝线,直到切口完全靠拢时才将预留缝线收紧打结.
结果: 术后1次收紧预留缝线闭合打结6例,2次收紧闭合打结23例,3次收紧闭合打结27例,4次收紧闭合打结11例.术后缝线闭合时间3～9 d,平均6.2 d.切口均延期Ⅰ期愈合.
结论: 采用预留缝线延期逐渐收紧闭合需要延期闭合的切口,克服了以往需要二次手术的缺陷,方法简便,效果良好. |
| [关键词]:骨折 缝合技术 创伤和损伤 |
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| Application of serial tightening of reserved suture threads in delayed incision closure |
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Abstract:
Objective: To study clinical outcomes of serial tightening of reserved suture threads in delayed incision closure.
Methods: From January 2005 to June 2013,67 patients with delayed incision closure were treated with serial tightening of reserved suture threads. There were 37 males and 30 females,with an average age of 40 years old (ranged from 12 to 75 years old). Among them,36 patients suffering from leg or forearm double fractures had the incision difficult to those primarily due to high tension or mergency;13 patients had open wound which lasted for more than routine time for debridement and closure;9 patients had wound infection;9 patients had decompression incisions owing to compartment syndrome. The No. 4 suture thread was used to sew up the incision,and the 4 to 6 cm long thread was reserved at two ends of each thread. The reserved thread was tightened gradually from 2 to 4 days after operation according to conditions of swelling relieving. Finally,the reserved thread was not tied until the incision was completely closed.
Results: After operation,the reserved threads were tightened and tied for 1 time in 6 patients,2 times in 23 patients,3 times in 27 patients,4 times in 11 patients. Postoperative closure time ranged from 3 to 9 days,with an average of 6.2 days. All the incisions got delayed primary healing.
Conclusion: The method of serial tightening of reserved suture threads to close delayed incision closure avoids a second operation,which is simple and obtains a fine result. |
| KEYWORDS:Fractures Suture techniques Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐可林,吴永伟,顾三军,宋升,孙振中.预留缝线延期逐渐收紧在切口延期闭合的临床应用[J].中国骨伤,2014,27(11):952~954 |
| 英文格式: | XU Ke-lin,WU Yong-wei,GU San-jun,SONG Sheng,SUN Zhen-zhong.Application of serial tightening of reserved suture threads in delayed incision closure[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(11):952~954 |
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