缝扎与肿胀麻醉技术在非肢体部位皮肤巨大良性肿瘤切除中的应用  

Application of suture and ligature and swelling anesthesia technique in excision of giant skin benign tumor in sites other than extremity

作　　者：刘毅[1] 张绪生[1] 张鲜英[1] 张诚[1] 宋玫[1] 陈黎明[1] 

机构地区：[1]兰州军区兰州总医院全军烧伤整形外科中心,730050

出　　处：《中华医学美学美容杂志》2013年第1期15-17,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨缝扎与肿胀麻醉技术在非肢体部位皮肤巨大良性肿瘤切除中的应用。方法对病灶位于面颈部者，在切除前单纯采用肿胀麻醉技术；对病灶位于头部与躯下部者，采用缝扎与肿胀麻醉技术，即先环绕病灶四周缝扎1圈或2圈，然后将肿胀麻醉液注射人病灶基底部，沿缝扎线内侧或2圈缝扎线中央做切口，切除病灶。结果1次病灶切除面积154．00～2394．75cm^2，病灶下注射肿胀麻醉液150～1950ml，病灶切除前环绕病灶缝扎最长耗时1h，术巾出衄明显减少。结论缝扎与肿胀麻醉技术有助于减少非肢体部位皮肤巨大良性肿瘤切除术中出血，增加手术安全性。Objective To study the application of suture and ligature and swelling technique in the removal of giant skin benign tumor in none-extremity position. Methods The swelling technique was merely used in those whose lesions were located on face and neck before operation. If the lesions were located on scalp or truck, suture and ligature and swelling technique would be combined in the treatment. Firstly, the lesion was sutured and ligated one or two circles all around. Then swelling flu id was injected under lesion, and incision was done inside or between sutures. Results The area of le-sion once excised was 154.00-2394.75 cme , and the quantity of swelling fluid was 150-1950 ml. The longest time to suture and to ligate the lesion was one hour, and operative bleeding was obviously de creased. Conclusions Suture, ligature and swelling technique might be helpful to decrease operative bleeding during excision of giant skin benign tumor in none-extremity position, and therefore increase operative safety.

关 键 词：缝扎 肿胀麻醉技术 良性肿瘤 手术治疗 

分 类 号：R614[医药卫生—麻醉学]