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鼻窦腔冲洗引流管的研发与发明及其在鼻窦腔压疮微创治疗中的临床应用

[Research and invention of sinus cavity flushing drainage tube and clinical application in the minimally invasive treatment of sinus cavity pressure ulcer].

作者信息

Wang Shujuan, Chen Hongyu, Xu Xiaoqin, Tian Gengjia, Zhang Li

机构信息

Wound Clinic of the People's Hospital of Longyou County, Quzhou 324400, Zhejiang, China (Wang SJ, Xu XQ); Center of Diagnosis and Treatment of Chronic Wounds, Geriatric Hospital of Hangzhou, Hangzhou 320000, Zhejiang, China (Chen HY, Tian GJ, Zhang L). Corresponding author: Tian Gengjia, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 Jun;30(6):613-615. doi: 10.3760/cma.j.issn.2095-4352.2018.06.023.

Abstract

OBJECTIVE

To develop a washing tube for minimally invasive treatment of sinus cavity pressure ulcer, and to observe its clinical effect.

METHODS

Using transparent non-toxic PU plastic to make sinus cavity flushing and drainage tube, and with rounded hemispherical blunt head for the entry of the sinus, the perforated tube in the sinus cavity was designed with perforated holes (3 rows, 5 for each row); the end of the tube is blocked with heparin cap. The invented sinus cavity flushing tube was used for clinical observation and its use effect was observed. When used, the sinus cavity flushing drainage tube must be placed in the deepest antrum. The wounds were covered with PU sponge. By the active aspiration drainage of the negative pressure with sterile isotonic flushing fluid, bacteria, liquefied necrotic tissue, purulent secretion, internal and external toxins produced by bacteria, and the harmful material such as exudate of inflammatory medium in the sinus cavity was thoroughly removed.

RESULTS

When treating sinus cavity and mixed pressure ulcer, minimally invasive treatment using the developed sinus cavity flushing drainage tube for irrigation and negative pressure drainage can significantly reduce patients' iatrogenic trauma, observably reduce the pain of the patients, shorten the treatment cycle, improve the cure rate of sinus pressure ulcers, and achieve good clinical effect. The sinus cavity flushing drainage tube has no damage to soft tissue, with simple operation and easy tolerance of patients. It is low price and using disposable materials, which can avoid cross-infection; It can be used to treat oxygen negative pressure in sinus cavity, and it has therapeutic effect on the sinus cavity pressure sore infected by anaerobic bacteria. It can be made into different specifications, different models, and widely used in different professional fields.

CONCLUSIONS

The sinus cavity flushing drainage tube combined with negative pressure treatment is a new technique of mild and undamaged cleansing wound, which makes up for the deficiency of flap surgery, and it is a very ideal method for minimally invasive treatment for sinus and cavity pressure ulcers.

摘要

目的

研制一种用于鼻窦腔压疮微创治疗的冲洗管,并观察其临床效果。

方法

采用透明无毒的聚氨酯(PU)塑料制作鼻窦腔冲洗引流管,其进入鼻窦的一端为圆形半球形钝头,鼻窦腔内的管体设计有穿孔(3排,每排5个);管端用肝素帽封堵。将所发明的鼻窦腔冲洗管用于临床观察,观察其使用效果。使用时,鼻窦腔冲洗引流管必须置于最深的窦腔。伤口用PU海绵覆盖。通过无菌等渗冲洗液的负压主动吸引引流,彻底清除鼻窦腔内的细菌、液化坏死组织、脓性分泌物、细菌产生的内外毒素以及炎性介质渗出物等有害物质。

结果

在治疗鼻窦腔及混合性压疮时,使用所研制的鼻窦腔冲洗引流管进行冲洗及负压引流的微创治疗可显著减轻患者的医源性创伤,明显减轻患者疼痛,缩短治疗周期,提高鼻窦压疮治愈率,取得良好的临床效果。鼻窦腔冲洗引流管对软组织无损伤,操作简单,患者易于耐受。价格低廉,采用一次性材料,可避免交叉感染;可用于治疗鼻窦腔氧负压,对厌氧菌感染的鼻窦腔压疮有治疗作用。可制成不同规格、不同型号,广泛应用于不同专业领域。

结论

鼻窦腔冲洗引流管联合负压治疗是一种温和无创的清洁伤口新技术,弥补了皮瓣手术的不足,是鼻窦及腔压疮微创治疗的一种非常理想的方法。

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