Stolz A J, Schützner J, Lischke R, Simonek J, Pafko P
III. chirurgická klinika 1. LF UK a FN Motol, Praha.
Rozhl Chir. 2004 Apr;83(4):185-8.
The purpose of this prospective study was to determine whether electrocautery as a means of creating thoracic wound result in increased wound infection rates. Seventy-three patients were randomized prospectively into two groups. Group A-coagulation, where the first half of the incision was done with scalpel and the second half with coagulation-fulgurate. Group B-cut mode, where half of incision was done with scalpel and half with blend cut mode. All wound complications were recorded and divided into infectious (grade 1: induration and erythema with no secretion, grade 2: grade 1 and serous secretion, grade 3: contaminated wound with pus formation) and non-infectious complications (haematoma with its evacuation). Scalpel and electrosurgical thoracotomy incision in elective surgery are similar in terms of early and late wound complications when used to perform anterolateral thoracotomy. Therefore, the choice of which method to use remains only a matter of surgeon preference.
这项前瞻性研究的目的是确定使用电灼术制造胸部伤口是否会导致伤口感染率增加。73名患者被前瞻性地随机分为两组。A组为凝固组，切口的前半部分用手术刀完成，后半部分用电凝灼法。B组为切割模式组，一半切口用手术刀完成，另一半用混合切割模式。记录所有伤口并发症，并分为感染性并发症（1级：硬结和红斑，无分泌物；2级：1级加浆液性分泌物；3级：有脓液形成的污染伤口）和非感染性并发症（血肿及其清除）。在择期手术中，当用于进行前外侧开胸手术时，手术刀和电外科开胸切口在早期和晚期伤口并发症方面相似。因此，选择使用哪种方法仅仅是外科医生的偏好问题。
