医用胶补贴法在腹内脏器切口和创面的应用

Application of Medical Glue Paste Technique in Intra-abdominal Organ Incision and Wound

目的探讨补片喷涂医用生物胶在腹内脏器手术中的粘贴效果。方法用可溶性止血纱布或明胶海绵喷涂医用胶粘贴于实质脏器的创面止血，用腹膜或胆囊浆肌层薄片借助医用胶粘贴于胆总管缝合切口。结果本文32例均明显有效，随访6～12个月，无后遗症及并发症。结论腹内实质脏器破裂和淋巴清扫创面，可用止血纱布喷涂医用胶粘贴创面，对胆总管切口，经一期缝合后，加用自身腹膜或胆囊浆肌层薄片喷涂生物胶粘贴，效果更佳，达到密闭、不透水、减张作用，可预防胆漏发生。避免了胆管内留置T形管的弊端。

Objective To explore the pasting effects of patches spraying with medical biological glue in intra-abdominal organ operations. Methods Spray the absorbable anti-bleeding gauze of gelatinsponge with the medical glue and paste it onto the organ wounds to stop bleeding. Paste the slices of peritoneum or gallbladder seromuscular layer onto the bile duct incision using the medical glue. Results 32 cases have all obvious response. During the follow-up of 6 to 12 months, no residuals or complications were observed. Conclusions Anti-bleeding gauze sprayed with medical glue can be pasted to the intra-abdominal organs and dissection wounds. If slices of peritoneum or gallbladder seromuscular layer of the patients＇ own are pasted onto the bile duct incision with the biological glue after primary suture, a better effect of close, impermeable and relaxing function can be gained. The method can protect the occurance of bile leak and avoid the deficiency of T-tube drainage in the bile duct.