一次性注射器改制加压包扎法在颌面部术后伤口护理中的应用

The Application of Pressure Bandaging Modified from Disposable Syringe in Would Care after Maxillofacial Region Surgery

目的改进颌面部手术后伤口加压包扎的方法,促进伤口愈合、减少并发症。方法采用一次性注射器改制成的胶管棒加压包扎护理62例颌面部手术后伤口。结果经本法加压包扎一周以上,62例手术伤口均一期愈合,无感染及涎瘘发生,随访观察1～2年,局部伤口愈合良好,无明显瘢痕。结论一次性无菌注射器改制的胶管棒质地较坚韧,加压包扎力度足,能很好地嵌压入颌后凹区、下颌下区、颏下区这些特殊解剖位置,使术区伤口皮瓣与深部组织创面贴合,消除创腔、防止感染,预防涎瘘,促进伤口愈合。

Objective To accelerate wound healing and reduce complications by improving the wound pressure bandaging method after maxillofaeial region surgery. Methods 62 cases of wound after maxillofacial region surgery have been treated by means of pressure bandaging through plastic tube which was modified from disposable syringe. Results After being bandaged by said method for over one week, 62 eases of surgical wound can be primarily healed, without any infection and salivary fistula, and furthermore, after the following one-to-two-years＇ observation, local wound can be well healed, without obvious sear. Conclusion The plastic tube modified from the disposable sterilized syringe, tough and tensile, is able to be easily implanted in certain special anatomical locations, such as the concave area, the submandibular region and the submental area, so that the surgical wound flap and the deep tissue wound surface can be properly pressed against each other with the purpose of eliminating wound cavity, preventing infection and salivary fistula, as well as accelerating wound healing.