医用胶在颈椎前路融合术切口闭合中的应用  

Application of medical adhesive in incision closure of anterior cervical fusion surgery

作　　者：刘永涛 左韬 薛骋 Liu Yongtao;Zuo Tao;Xue Cheng(Spinal Surgery Department,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《首都食品与医药》2023年第18期68-70,共3页Capital Food Medicine

摘　　要：目的评价医用胶在颈椎前路融合术后切口闭合中应用的临床疗效与安全性。方法选取2020年1月-2022年6月在徐州医科大学附属医院行颈椎前路融合术的100例患者,依据术后皮肤切口闭合方案的不同分为医用胶组(58例)和传统缝线组(42例),观察和统计两组患者的皮肤切口闭合时间、愈合情况与切口并发症情况。结果两组患者均取得了较好的切口愈合情况。其中医用胶组皮肤切口闭合时间显著短于传统缝线组,差异具有统计学意义(P<0.05)。医用胶组切口愈合情况显著优于传统缝线组,差异具有统计学意义(P<0.05)。结论对于颈椎前路融合术后手术切口的闭合,相较于传统缝合方法,使用α一氰基丙烯酸异丁酯(美无痕)医用胶能够更快地闭合创面,更好地促进切口愈合,值得临床进一步推广应用。Objective To evaluate the clinical efficacy and safety of medical adhesive in incision closure after anterior cervical fusion surgery.Method 100 patients who underwent anterior cervical fusion surgery in our department from January 2020 to June 2022 were selected and divided into a medical glue group(58 cases)and a traditional suture group(42 cases)based on different postoperative skin incision closure plans.The skin incision closure time,healing status,and incision complications of the two groups of patients were observed and statistically analyzed.Result Both groups of patients achieved good incision healing.The closure time of the skin incision in the medical adhesive group was significantly shorter than that in the traditional suture group,with a statistically significant difference(P<0.05).The healing of the incision in the medical adhesive group was significantly better than that in the traditional suture group,with a statistically significant difference(P<0.05).Conclusion For the closure of surgical incisions after anterior cervical fusion surgery,compared to traditional suture methods,the use of medical glue can quickly close the wound and better promote incision healing,which is worthy of further clinical promotion and application.

关 键 词：颈椎前路融合术 医用胶 切口闭合 缝线 

分 类 号：R681.5[医药卫生—骨科学]