摘要
目的：探讨一次性闭合高负压引流系统（ PFM，德国PFM医疗集团生产）在小儿巨大脓肿手术治疗中的临床意义。方法：对2012年6月～2013年l月收治的20例（＞3 cm）脓肿患儿的临床资料进行回顾性分析。根据患儿脓肿的部位分别采用不同径路的小切口脓肿切开排脓联合一次性闭合高负压引流系统术后持续引流术，同时应用抗生素，加强全身支持治疗；对并发的各种基础疾病请相关科室协同处理，重视可能出现的并发症并作相应的处理。结果：20例患儿治疗7～14 d皆痊愈出院，有效治愈率100％。结论：小切口脓肿切开排脓联合一次性闭合高负压引流系统术后持续引流术表现出微创治疗的优越性，术后便于患儿活动，无需更换脓腔内引流纱条，无需更换引流瓶，能明显减轻换药给患儿带来的痛苦和医师的工作量，愈合快，且愈合后无明显瘢痕，外观美观，尤其针对深部且较大的脓肿效果更好，故治疗效果优于传统治疗方法。
Objective：To investigate the clinical effect of disposable med-ical high-vacuum drainage system（PFM,Germany）for treatment of chil-dren with huge abscess.Methods：The clinical data were retrospectively analyzed in 20 children with huge abscess（ 〉3 cm） undergone treatment in our department between June 2012 and May 2013.The total patients were managed with small incision into the abscess by different surgical route on lesion basis, combined with continuous postoperative drainage with the high-vacuum drainage system as well as antibiotics and enhanced supportive therapy.The potential complications or underlying diseases were cooperatively managed by relevant departments.Results：The total 20 patients were cured between 7 and 14 days of hospital stay,and the cura-tive rate was 100%.Conclusion：Small incision of the abscess combined with disposable high-vacuum system can be preferable for its minimal in-vasion,less interference with the activity of postoperative children ,unnec-essary replacement of the drainage gauze and drainage bottle .More impor-tant,this technique may reduce the pain of the children in replacing the dressings and workload of a surgeon,and lead to fast wound healing,less visual scar but better cosmetic results.In addition,it is superior to conven-tional surgery in treating the larger deep abscess.
出处
《皖南医学院学报》
CAS
2013年第5期385-387,共3页
Journal of Wannan Medical College
关键词
高负压引流系统
小儿
巨大脓肿
high-vacuum drainage system
children
huge abscess
