一种简易负压引流装置在全扩张法耳再造术后的应用  

Application of a simple negative pressure suction drainage device after auricular reconstruction with expanded method

作　　者：陈雪[1] 何永静[1] 杨蔚琪[1] 王继华[1] 张伯俊[1] 汤婷[1] CHEN Xue;HE Yongjing;YANG Weiqi;WANG Jihua;ZHANG Bojun;TANG Ting(Department of Plastic Surgery,The Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院整形外科,云南昆明650101

出　　处：《中国美容整形外科杂志》2022年第8期471-473,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨一种由一次性输液器和生理盐水塑料瓶制作的负压引流装置在全扩张法耳再造术后引流中的临床应用效果。方法自2020年3月至2021年9月,昆明医科大学第二附属医院整形外科对23例全扩张法耳再造患者,采用由一次性输液器和抽去空气的生理盐水塑料瓶制作的简易负压引流装置进行引流,观察负压引流效果,记录术后引流量、拔管时间、观察伤口愈合及感染情况、皮瓣成活情况。结果简易负压引流装置引流通畅,负压效果好,皮瓣与支架贴合紧密,耳郭亚结构显现清晰。伤口平均引流量为11 ml,引流管拔除时间为4~7 d,平均5 d。伤口均一期愈合,切口无坏死、感染及血肿,皮瓣血运较好,无一例出现皮瓣坏死或耳支架外露。结论该装置能够维持相对适宜大小的负压,既保证皮瓣与耳支架的密切贴合,又不影响皮瓣血供,引流效果较好,能清晰显现再造耳郭亚结构。Objective To explore the clinical efficacy of a simple negative pressure suction drainage device based on a disposable infusion set and a plastic bottle of normal saline in drainage after auricular reconstruction with expanded method.Methods From March 2020 to September 2021,23 patients received auricular reconstruction with expanded method.A simple negative pressure suction drainage device based on a disposable infusion set and a plastic bottle of normal saline with air drawn was applied for drainage.The efficacy of negative pressure drainage was observed.The postoperative drainage volume,time to extubation,wound healing,infection and flap survival were observed and recorded.Results This simple negative pressure suction drainage device was always unobstructed for all patients.The flap closely fitted the framework.The substructure of auricle was clear.The average drainage volume of the wound was 11 ml daily,and the time to extubation was from 4 to 7 days,with an average of 5 days.All incisions healed by first intension.No necrosis,infection and hematoma of incisions occurred.The blood supply of flap was good.No flap necrosis or framework exposure occurred.Conclusion This device can maintain appropriate negative pressure,which not only ensures the close fit of flap and framework but also does not affect the blood supply of flap.The efficacy of drainage is good and the substructure of reconstructed auricle is clear.

关 键 词：小耳畸形 耳郭再造 引流 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]