Avery C M, Taylor J, Johnson P A
King's College Hospital, London, UK.
Br J Oral Maxillofac Surg. 1999 Aug;37(4):316-9. doi: 10.1054/bjom.1998.0018.
The treatment of some maxillofacial fractures has an incidence of glove perforation as high as 50%, with over 80% going unnoticed at the time of operation. We investigated double gloving and a glove perforation indication system to ascertain whether the latter offered any additional protection. 1061 gloves used for 113 patients were examined. The outer glove perforation rate was significantly higher than the inner glove (0.48 compared with 0.10, P < 0.0001). There were fewer unnoticed perforations in the glove perforation indication group than the standard surgical glove group (19% compared with 79%, P < 0.0001). The indication system was most effective in wet operating fields. The perforation rate varied with the type of fracture and treatment. Mandibular fractures that were 'hand-held', while bone-plated had a lower mean number of outer glove perforations/operation than fractures treated with temporary intermaxillary fixation (0.43 compared with 4.62, P < 0.0001).
一些颌面骨折的治疗中，手套穿孔发生率高达50%，超过80%的穿孔在手术时未被发现。我们研究了双层手套和手套穿孔指示系统，以确定后者是否能提供额外的防护。对用于113例患者的1061只手套进行了检查。外层手套的穿孔率显著高于内层手套（分别为0.48和0.10，P<0.0001）。手套穿孔指示组中未被发现的穿孔比标准手术手套组少（分别为19%和79%，P<0.0001）。该指示系统在潮湿的手术区域最为有效。穿孔率因骨折类型和治疗方式而异。采用“手持”方式且进行骨板固定的下颌骨折，其外层手套平均每次手术的穿孔数低于采用临时颌间固定治疗的骨折（分别为0.43和4.62，P<0.0001）。
