医用生物蛋白胶在皮肤扩张器植入术中的应用  

Application of fibrin sealant in the placement of tissue expander

作　　者：卢丙仑[1] 郭树忠[1] 潘宝华[1] 韩岩[1] 刘云景[1] 张琳西[1] 

机构地区：[1]第四军医大学西京医院整形外科中心,陕西省西安市710032

出　　处：《中国美容医学》2003年第2期156-157,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:回顾总结生物蛋白胶在皮肤扩张器植入术中应用的临床经验。方法:皮肤扩张器植入术中应用生物蛋白胶18例,共41只扩张器。在拟植入扩张器部位常规剥离腔隙,手术创面均匀涂抹生物蛋白胶,短暂压迫后植入扩张器。观察术后24h和48h引流物的质、量,及有无血肿、感染和扩张器外露。结果:无一例发生并发症;负压引流物在术后的前24h多为淡红色,24h后转为淡黄色液体;引流量在术后的前24h为8-15mL,后24h为5-8mL;1例(耳部扩张器植入)术后24h出现过敏症状。结论:在扩张器植入术中应用生物蛋白胶具有以下优点:①止血效果肯定,明显缩短手术时间;②术后引流量明显减少;③促进组织愈合,减少并发症的发生率。Objective: To review clinical experiences in the using of fibrin sealant in the placement of tissue expander.Methods: Fibrin sealant was atomized all around the wound of pockets which would be placed tissue expanders in 18 patients and 41 tissue expanders. Total drainage was recorded for 48 hours before suction drain was removed.Results: All the patients had very good results. There was no complication in any cases. The color of the drainage was pink and had 8-15 mL during 24 hours post-operation, and buff and 5-8 mL during 24-48 hours. Conclusion: The advantages of using fibrin sealant in the placement of tissue expanders were as follows: ①Good effect to stop bleeding; ②Reduction drainage and bruise;③Acceleration wound healing and decreasing the rate of complications .

关 键 词：医用生物蛋白胶 皮肤扩张器植入术 应用 并发症 

分 类 号：R622[医药卫生—整形外科]