医用透明质酸钠在预防颈部淋巴结核术后粘连中的应用研究  

Application of Sodium Hyaluronate in Prevention of Postoperative Adhesion of Cervical Lymph Node

作　　者：吴常青[1] 王力维[1] 卞傲傲[1] 韩洲[1] 唐弘杰 

机构地区：[1]江苏省苏州市第五人民医院外科,江苏苏州215007

出　　处：《中国继续医学教育》2017年第7期167-168,共2页China Continuing Medical Education

摘　　要：目的探讨医用透明质酸钠在预防颈部淋巴结结核术后粘连过程中的临床效果。方法选取2015年3月-2016年3月在我院接受颈部淋巴结结核手术治疗的患者90例为研究对象,随机分为观察组和对照组,每组45例患者。观察组患者给予医用透明质酸钠预防颈部淋巴结结核术后粘连治疗,对照组患者未给予任何预防粘连的治疗,术后6个月观察两组患者的临床预防效果。结果观察组和对照组患者术后轻、中、重度粘连发生率分别是:20.00%、11.11%、0.00%和35.56%、22.22%、8.89%,B超随访显示发生粘连的概率分别是26.67%和46.67%,差异具有统计学意义(P<0.05)。结论医用透明质酸钠在颈部淋巴结结核手术过程中,可以提高预防术后粘连的效果,减轻粘连的严重程度,值得临床推广。Objective To investigate the clinical effect of medical sodium hyaluronate in the prevention of postoperative adhesion of cervical lymphadenopathy. Methods 90 patients with cervical lymph node tuberculosis treated in our hospital from March 2015 to March 2016 were randomly divided into observation group and control group, with 45 patients in each group. The patients in the observation group were treated with sodium hyaluronate for prevention of postoperative adhesion of cervical lymph node tuberculosis. The patients in the control group did not receive any preventive adhesive treatment. The clinical preventive effect of the two groups was observed 6 months after operation. Results The incidence of postoperative adhesions in observation group and control group were respectively 20.00%, 11.11%, 0.00% and 35.56%, 22.22%, 8.89%. The follow-up of B ultrasound showed that the probability of adhesion was 26.67% and 46.67%, which all had statistical significance （P〈0.05）. Conclusion Sodium hyaluronate in the treatment of cervical lymph node tuberculosis can improve the prevention of postoperative adhesions, reducing the severity of adhesion, and is worthy of clinical application.

关 键 词：医用透明质酸钠 颈部淋巴结结核 术后粘连 

分 类 号：R522[医药卫生—内科学]