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治疗尿道下裂的最佳缝线是什么?

The best suture for hypospadias?

作者信息

Bartone F, Shore N, Newland J, King L, DuPlessis D

出版信息

Urology. 1987 May;29(5):517-22. doi: 10.1016/0090-4295(87)90042-2.

DOI:10.1016/0090-4295(87)90042-2
PMID:3107191
Abstract

In a study designed to determine the best suture for use in hypospadias surgery, polydioxanone (PDS), chromic catgut, and polyglycolic acid (Dexon) were studied under similar conditions in the penile foreskin of 16 baboons. Gross and microscopic observations were made at intervals of six to forty-eight days. The wounds sutured with catgut were all healed by twenty-four days with complete suture resorption and no evidence of scar formation. Both polyglycolic acid and polydioxanone sutures showed delayed resorption, wound abscesses, and granulomas. Catgut remains the best available suture to use in the penile foreskin. Polyglycolic acid and polydioxanone sutures, because of their prolonged resorption and excess reaction, should not be used in hypospadias surgery.

摘要

在一项旨在确定用于尿道下裂手术的最佳缝线的研究中,在16只狒狒的阴茎包皮上,于相似条件下对聚二氧六环酮(PDS)、铬制肠线和聚乙醇酸(德克松)进行了研究。在6至48天的间隔时间进行大体和显微镜观察。用肠线缝合的伤口在24天时全部愈合,缝线完全吸收,且无瘢痕形成迹象。聚乙醇酸和聚二氧六环酮缝线均显示出吸收延迟、伤口脓肿和肉芽肿。肠线仍是阴茎包皮手术中可用的最佳缝线。聚乙醇酸和聚二氧六环酮缝线由于吸收时间延长和过度反应,不应在尿道下裂手术中使用。

相似文献

1
The best suture for hypospadias?治疗尿道下裂的最佳缝线是什么?
Urology. 1987 May;29(5):517-22. doi: 10.1016/0090-4295(87)90042-2.
2
Stricture incidence related to suture material in hypospadias surgery.尿道下裂手术中与缝合材料相关的狭窄发生率。
J Pediatr Surg. 1996 Jul;31(7):881-4. doi: 10.1016/s0022-3468(96)90402-9.
3
Comparison of Maxon suture with Vicryl, chromic catgut, and PDS sutures in fascial closure in rats.在大鼠筋膜闭合中Maxon缝线与薇乔缝线、铬制肠线和PDS缝线的比较。
Obstet Gynecol. 1988 Mar;71(3 Pt 1):418-22.
4
Suture material in bladder surgery: a comparison of polydioxanone, polyglactin, and chromic catgut.膀胱手术中的缝合材料:聚二氧六环酮、聚乙交酯丙交酯和铬制肠线的比较
J Urol. 1990 Jun;143(6):1261-3. doi: 10.1016/s0022-5347(17)40250-3.
5
In vitro comparison of the properties of polydioxanone, polyglycolic acid and catgut sutures in sterile and infected urine.聚二氧六环酮、聚乙醇酸和肠线缝合线在无菌和感染尿液中的性能体外比较
J Urol. 1987 Oct;138(4):913-5. doi: 10.1016/s0022-5347(17)43415-x.
6
Effect of human urine on the tensile strength of sutures used for hypospadias surgery.尿液对尿道下裂手术缝线抗张强度的影响。
J Plast Reconstr Aesthet Surg. 2013 Jun;66(6):835-8. doi: 10.1016/j.bjps.2013.02.006. Epub 2013 Apr 1.
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Comparison of effects of suture materials on wound healing in a rabbit pyeloplasty model.兔肾盂成形术模型中缝合材料对伤口愈合影响的比较。
Urology. 1997 Feb;49(2):261-4. doi: 10.1016/S0090-4295(96)00440-2.
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A prospective randomized trial of suture material in aural wound closure.
J Laryngol Otol. 1988 Sep;102(9):788-90. doi: 10.1017/s0022215100106450.
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Strength retention of chromic gut and synthetic absorbable sutures in a nonhealing synovial wound.铬制肠线和合成可吸收缝线在不愈合滑膜伤口中的强度保持情况。
Clin Orthop Relat Res. 1991 Jun(267):294-8.
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Preclinical evaluation of PDS (polydioxanone) synthetic absorbable suture vs chromic surgical gut in urologic surgery.聚二氧六环酮(PDS)合成可吸收缝线与铬制外科肠线在泌尿外科手术中的临床前评估
Urology. 1987 Oct;30(4):369-72. doi: 10.1016/0090-4295(87)90303-7.

引用本文的文献

1
Post-urethroplasty complications in hypospadias repair: a systematic review and meta-analysis comparing polydioxanone and polyglactin sutures.尿道下裂修复术后尿道成形术并发症:一项比较聚二氧六环酮和聚乙交酯缝线的系统评价和荟萃分析
World J Pediatr Surg. 2024 Mar 1;7(1):e000659. doi: 10.1136/wjps-2023-000659. eCollection 2024.
2
Failed hypospadias in paediatric patients.小儿患者的尿道下裂失败案例。
Nat Rev Urol. 2013 Nov;10(11):657-66. doi: 10.1038/nrurol.2013.164. Epub 2013 Aug 6.