中医外科技术结合长皮膏在术后创面修复中的临床应用  

Clinical application of traditional Chinese medicine surgical technology combined with Zhangpi ointment in postoperative wound repair

作　　者：王永灵[1] 李松 孙旺 代秋颖 廖明娟[1] 李琰[1] 梁嘉玲 WANG Yongling;LI Song;SUN Wang;DAI Qiuying;LIAO Mingjuan;LI Yan;LIANG Jialing(Traditional Chinese Medicine Department,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;General Department,Shanghai Pudong New Area Dongming Community Health Service Center,Shanghai 200123,China;General Department,Shanghai Pudong New Area Huamu Community Service Center,Shanghai 201204,China)

机构地区：[1]上海交通大学医学院附属第九人民医院中医科,上海市200011 [2]上海市浦东新区东明社区卫生服务中心全科,上海市200123 [3]上海市浦东新区花木社区卫生服务中心全科,上海市201204

出　　处：《组织工程与重建外科》2024年第2期208-211,共4页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海交通大学医工交叉项目(YG2021ZD15)。

摘　　要：目的观察中医外科技术结合长皮膏方案在术后创面修复中的临床疗效。方法回顾性收集临床术后创面病例65例,采用中医外科技术结合长皮膏的综合治疗方案,自身前后对照,观察临床效果。结果术后创面65例,其中肿瘤术后33例(口腔颌面肿瘤术后18例,乳腺肿瘤术后10例,阴部肿瘤术后3例,肺癌术后病例2例),跟腱断裂术后6例,心脏搭桥术后6例,下肢内固定取出术后3例,皮脂腺囊肿切排术后4例,肛旁脓肿术后3例,血管瘤切除术后2例,植皮术后5例,剖腹产术后3例。结果治愈62例,无效3例,无效病例中1例骨髓炎,2例肿瘤复发转移。治愈患者愈合时间最短6 d,最长时间184 d。结论中医外科技术结合长皮膏在术后创面修复中的临床疗效明显,能促进术后创面修复,避免再次手术。Objective To observe the clinical efficacy of traditional Chinese medicine surgical technology combined with Zhangpi ointment in postoperative wound repair.Methods A retrospective collection of 65 cases of postoperative wounds was conducted,and a comprehensive treatment plan combining traditional Chinese medicine surgical techniques with Zhangpi ointment was adopted.The clinical effects were observed through self control before and after treatment.Results There were 65 cases of postoperative wounds,including 33 postoperative tumors(18 postoperative oral and maxillofacial tumors,10 postoperative breast tumors,3 postoperative pudendal tumors,and 2 postoperative lung cancer),6 postoperative Achilles tendon rupture,6 postoperative cardiac bypass surgery,3 postoperative lower limb internal fixation removal,4 postoperative sebaceous cyst resection and removal,3 postoperative anal abscesses,2 postoperative hemangioma resection,5 postoperative skin grafting,and 3 postoperative cesarean section.As a result,62 cases were cured and 3 cases were ineffective.Among the ineffective cases,one was osteomyelitis,and two cases had tumor recurrence and metastasis.The shortest healing time for cured patients was 6 days,and the longest was 184 days.Conclusion The combination of traditional Chinese medicine surgical technology and Zhangpi ointment has a significant clinical effect in postoperative wound repair,which can promote postoperative wound repair and avoid reoperation.

关 键 词：中医外科技术 长皮膏 术后创面 修复 

分 类 号：R632.1[医药卫生—外科学]