纤维蛋白胶在胸壁重建手术中的临床应用  

The Clinical Use of Fibrin Glue in Chest Reconstruction

作　　者：张勇[1] 亓发芝[1] 顾建英[1] 施越冬[1] 张学军[1] 

机构地区：[1]复旦大学附属中山医院整形外科,上海200032

出　　处：《中国临床医学》2010年第1期39-40,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨在胸壁重建手术中,应用纤维蛋白胶进行胸壁创面止血并局部固定转移肌瓣对降低术后伤口血肿发生率及感染率的临床效果。方法:选取2005年—2009年17例因各种原因行胸壁缺损重建手术的患者,术中应用纤维蛋白胶对创面进行辅助止血及固定肌瓣。观察分析患者术后引流量及拔管时间,术后住院时间,术后伤口并发症发生情况及再次手术次数。并回顾统计2003年—2009年应用单侧胸大肌肌瓣行胸壁重建术中未使用纤维蛋白胶患者资料,将相应数据进行统计分析。结果:两组术后伤口引流量,拔管时间,术后住院时间,术后伤口感染率血肿和血清肿发生率均有显著性差异。结论:应用纤维蛋白胶可降低胸壁重建手术后血肿及术后感染的发生率,缩短拔管时间和术后住院天数。Objective： To study the application value of fibrin glue in preventing seroma, hematoma and wound infection in chest-wall reconstruction. Methods： Seventeen cases of chest wall reconstruction with pectoralis major flap who were used fi- brin glue during the surgery served as the experimental group. The control group were twenty-three cases retrospective selected without fibrin glue used. Results： The drainage of experimental in the first, second, third day and the extubation time the length of stay after surgery were obviously lower than that of the control group. Conclusions： The application of fibrin glue in the chest-wall reconstruction can reduce the wound exudation, prevent serorna and hernatoma of the wound, and shorten extu- bation time and length of stay.

关 键 词：纤维蛋白胶 胸壁重建 止血 

分 类 号：R655.1[医药卫生—外科学]