摘要
目的:观察可吸收性止血纱布(商品名:泰绫)在甲状腺手术中的止血及术区不放置引流保证美容的治疗效果。方法:将120例接受甲状腺手术的患者随机分成三组,每组各40例。A组:应用可吸收性止血纱布置于甲状腺术后创面并放置颈前引流;B组:创面不放置任何止血材料放置颈前引流管;C组:应用可吸收性止血纱布置于甲状腺术后创面不放置颈前引流。A组、B组分别于术后12h以及24h观察引流管的引流量。C组进行3~5个月的随访。结果:A组术后颈部引流量较B组明显减少(P<0.05)。C组采取局部检查和彩超检查,均未发现有排斥反应、感染、血肿等情况。患者切口美观程度优于A、B组。结论:可吸收性止血纱布在甲状腺术中具有安全、有效的止血作用,尤其对甲状腺手术患者避免放置引流管起到积极的作用。
Objective:To observe the absorbable hemostatic gauze hemostasis in thyroid surgery and Surgical drainage is not placed to ensure the beauty treatment.Methods:120 patients underwent thyroid surgery were randomly divided into three groups.Put them into application absorbable hemostatic gauze and placed anterior thyroid postoperative wound drainage in group A(n=40 cases),the application of absorbable hemostatic gauze placed anterior thyroid postoperative wound drainage is not placed in Group B(n = 40 cases) and do not place any hemostatic wound anterior drainage tubes were placed in group C(n=40 cases).A group,C group,respectively,after 12 hours and 24-hour observation drainage tube drainage.Results:A postoperative neck drainage was significantly reduced compared with C group,the difference was significant(P〈0.05).Group B patients 3-5 months of follow-up.Take local checks and ultrasound examination weren’t found to have rejection,infection,hematoma,etc Wound healing better than patients A,C group.Conclusion:Absorbable hemostatic gauze in thyroid surgery is a safe and effective hemostatic effect,especially for thyroid surgery to avoid the drainage tube placed to play an active role,even the cosmetic effects of thyroid surgery for a new path.
出处
《中国医药导刊》
2012年第6期1035-1036,共2页
Chinese Journal of Medicinal Guide
关键词
可吸收性止血纱布
甲状腺手术
术后止血
引流
Absorbable Hemostatic Gauze
Thyroid surgery
Postoperative bleeding
Drainage