摘要
目的:比较扩张皮瓣修复术和腹壁成形术后持续负压引流和间歇负压引流对并发症的影响最小化效果。方法:2017年5月至2019年8月,武汉市第三医院医疗美容科(整形外科)对76例扩张皮瓣修复术后女性患者[年龄27~35(31±14)岁]和58例腹壁成形术后女性患者[年龄38~55(48±8)岁],随机分为间歇负压引流组(n=67)和持续负压引流组(n=67)。根据手术类型设置不同负压压力值,记录两组引流量、引流置管时间、血肿发生率、皮瓣坏死率、切口Ⅰ期愈合率、引流相关出血情况。结果:持续负压引流组降低了皮瓣坏死和血肿发生率,其中38例扩张皮瓣修复术后发生皮瓣坏死1例、血肿3例;29例腹壁成形术后仅发生血肿1例。切口Ⅰ期愈合较快(P<0.05),引流量较大,但引流时间较短(P<0.05),未观察到与引流相关的出血。结论:接受扩张皮瓣修复术和腹壁成形术患者,术后持续负压引流有助于提高整形手术效果,是整形外科术后护理的有效方法。
Objective To compare the use of continuous constant negative pressure drainage and intermittent suction mode drainage in abdominal wall angioplasty to minimize the impact of complications.Methods From May 2017 to August 2019,the Department of Medical Cosmetology and Plastic Surgery,Wuhan Third Hospital treated 76 female patients after expanded flap repair,aged 27-35 years,with an average age of 30.5±14.2 years,and 58 female patients after abdominal wall plasty,aged 38-55 years,with an average age of 47.8±7.8 years.They were divided into intermittent negative pressure drainage group and continuous negative pressure drainage group.The negative pressure values in different intervals were set according to the type of operation.The drainage volume,drainage time,incidence of hematoma,subcutaneous effusion,flap necrosis rate,primary wound healing rate and drainage related bleeding were recorded and compared between the two groups.Results After expanded flap repair in 38 cases,flap necrosis occurred in 1 case and hematoma in 3 cases;After abdominal wall plasty in 29 cases,flap necrosis occurred in 0 cases and hematoma in 1 case.The primary healing of incision was higher(P<0.05),the drainage volume was larger,but the drainage time was shorter(P<0.05),and no bleeding related to drainage was observed.The effect of monitoring drainage was positively correlated with the effect of operation.Conclusions Continuous and constant negative pressure drainage is related to the prognosis of patients undergoing expansion flap repair and abdominal wall plasty.It is helpful to improve the effect of plastic surgery and the quality of nursing work.It is an effective method for nursing management after plastic surgery.
作者
蒋婷
任军
曾丽梅
沈玲
Jiang Ting;Ren Jun;Zeng Limei;Shen Ling(Department of Medical Cosmetology and Plastic Surgery,Wuhan Third Hospital,Wuhan 430060,China)
出处
《中华医学美学美容杂志》
2022年第1期36-39,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
武汉市卫计委医学科研项目([2012]70 WX12C43)。
关键词
外科手术
外科护理
持续负压引流
间歇性负压引流
Surgical operation
Surgical nursing
Continuous negative pressure drainage
Intermittent negative pressure drainage
