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剖宫产术中的面部裂伤:组织粘合剂的应用经验

Facial laceration at caesarean section: experience with tissue adhesive.

作者信息

Saraf Sanjay

机构信息

Department of Plastic Surgery, NMC Specialty Hospital, Dubai, United Arab Emirates.

出版信息

Eplasty. 2009;9:e3. Epub 2009 Jan 9.

PMID:19198643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2627307/
Abstract

BACKGROUND

The fetal laceration is one of the most commonly identified injuries at the caesarean delivery. The incidence in the literature has been reported to be as high as 3%. The management of such injuries has remained a perplexing problem for both the physician and the parents.

MATERIALS AND METHODS

We present a case of a newborn who accidentally sustained laceration over the face during a caesarean delivery. A review of the literature and management of lacerations with tissue adhesives has been presented.

RESULTS

The laceration was successfully managed with tissue adhesive alone with good aesthetic outcome.

CONCLUSION

Topical 2-octylcyanoacrylate tissue adhesives can be an effective alternative therapy for traditional devices for closing simple low-tension lacerations.

摘要

背景

胎儿撕裂伤是剖宫产术中最常见的损伤之一。文献报道其发生率高达3%。对于此类损伤的处理,一直是医生和患儿家长面临的棘手问题。

材料与方法

我们报告一例新生儿在剖宫产过程中面部意外发生撕裂伤的病例。并对使用组织粘合剂治疗撕裂伤的文献及处理方法进行了综述。

结果

仅使用组织粘合剂就成功处理了撕裂伤,美容效果良好。

结论

外用2-氰基丙烯酸辛酯组织粘合剂可作为传统器械闭合简单低张力撕裂伤的一种有效替代疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043c/2627307/4f186e36bbb8/eplasty09e03_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043c/2627307/3824f15cbbb3/eplasty09e03_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043c/2627307/4f186e36bbb8/eplasty09e03_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043c/2627307/3824f15cbbb3/eplasty09e03_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/043c/2627307/4f186e36bbb8/eplasty09e03_fig2.jpg

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本文引用的文献

1
Tissue adhesives for simple traumatic lacerations.用于简单外伤性撕裂伤的组织粘合剂。
J Athl Train. 2008 Apr-Jun;43(2):222-4. doi: 10.4085/1062-6050-43.2.222.
2
Fetal injury associated with cesarean delivery.剖宫产相关的胎儿损伤。
Obstet Gynecol. 2006 Oct;108(4):885-90. doi: 10.1097/01.AOG.0000237116.72011.f3.
3
Accidental fetal lacerations during cesarean delivery: experience in an Italian level III university hospital.剖宫产术中意外的胎儿裂伤:一家意大利三级大学医院的经验
Am J Obstet Gynecol. 2004 Nov;191(5):1673-7. doi: 10.1016/j.ajog.2004.03.030.
4
Fetal lacerations at caesarean section.剖宫产术中的胎儿裂伤
J Obstet Gynaecol. 2002 Jan;22(1):23-4. doi: 10.1080/01443610120101655.
5
In-vitro analysis for microbial barrier properties of 2-octyl cyanoacrylate-derived wound treatment films.2-氰基丙烯酸辛酯衍生伤口治疗薄膜微生物屏障性能的体外分析
J Cutan Med Surg. 2003 Jan-Feb;7(1):13-9. doi: 10.1007/s10227-002-1155-5. Epub 2002 Nov 27.
6
Barrier and antibacterial properties of 2-octyl cyanoacrylate-derived wound treatment films.2-氰基丙烯酸辛酯衍生的伤口治疗薄膜的阻隔与抗菌性能
J Cutan Med Surg. 2003 Jan-Feb;7(1):1-6. doi: 10.1007/s10227-002-1154-6. Epub 2002 Oct 9.
7
Tissue adhesives for traumatic lacerations in children and adults.用于儿童和成人创伤性撕裂伤的组织粘合剂。
Cochrane Database Syst Rev. 2002;2002(3):CD003326. doi: 10.1002/14651858.CD003326.
8
Closure of lacerations and incisions with octylcyanoacrylate: a multicenter randomized controlled trial.用氰基丙烯酸辛酯闭合撕裂伤和切口:一项多中心随机对照试验
Surgery. 2002 Mar;131(3):270-6. doi: 10.1067/msy.2002.121377.
9
Using tissue adhesive for wound repair: a practical guide to dermabond.使用组织粘合剂进行伤口修复:皮肤粘合剂实用指南
Am Fam Physician. 2000 Mar 1;61(5):1383-8.
10
Tissue adhesive versus suture wound repair at 1 year: randomized clinical trial correlating early, 3-month, and 1-year cosmetic outcome.组织粘合剂与缝线伤口修复术后1年效果对比:一项关联早期、3个月及1年美容效果的随机临床试验
Ann Emerg Med. 1998 Dec;32(6):645-9. doi: 10.1016/s0196-0644(98)70061-7.