瘘管纱布填塞引流器的设计和应用

Design and application of fistula gauze packing drainage device

纱布填塞引流是治疗各类腹壁瘘管及窦性压疮的常用手段.由于压疮或瘘管外口较小、窦道深,常规纱布填塞法有许多的弊端.在没有熟练操作基础和合适工具时需要靠镊子牵拉外口,扩张窦道,进行纱布填塞引流,给患者带来极大的痛苦,还可能使伤口扩大导致愈合延迟.目前缺少对纱布填塞的辅助工具.因此,特设计了一种用于各类瘘管及窦性压疮填塞引流治疗的纱布填塞器,该装置具有引流效果良好、操作简单、成本低廉、安全有效的优点,不仅提高了患者舒适度,减少了换药次数,并且减轻了医务工作者负担,值得在临床工作中推广使用.

Gauze packing and drainage is a routine treatment for various types of fistula and sinus pressure ulcers.Because the external orifice of pressure ulcer or fistula is relatively small and the sinus deep,the conventional gauze packing has many drawbacks.Under the situation the operator is not skillful enough and no appropriate tools,it is necessary to pull the external orifice by tweezers to dilate the sinus and perform gauze packing and drainage,which brings great pain to patients,possibly leading to wound enlargement and delayed healing.At present,there is lack of auxiliary tools to improve gauze packing.Therefore,we developed and designed a gauze filler for packing and drainage of various kinds of fistula and sinus pressure ulcers,the device has the following advantages:good drainage effect,simple operation,low cost,safety and effectiveness.It not only improves the comfort of patients,reduces the number of dressing changes,reduce the number of dressing changes,shorten the hospitalization time and pay expense,but also reduces the burden of medical workers thus it is worthwhile to popularize and apply the newly designed gauze filler in clinical practice.