Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, United Kingdom.
Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, United Kingdom.
J Emerg Med. 2021 Nov;61(5):507-516. doi: 10.1016/j.jemermed.2021.07.013. Epub 2021 Sep 4.
Background Hair-thread tourniquet syndrome (HTTS) is the constriction of an appendage or tissue by a hair thread, which can cause ischemia and necrosis of distal tissues. Depilatory agents have the potential to release the hair tourniquet without exposing the patient to the risks of surgery.
This review aims to evaluate the effectiveness, benefits, complications, and contraindications of depilatory agents in HTTS.
Relevant terms to HTTS and depilatory agents were used to search for articles on MEDLINE and EMBASE databases using the NHS Healthcare Databases Advanced Search engine.
In total, 19 of the 295 articles identified in the primary search were included in the final review. Articles described the benefits of depilatory agents as painless, well tolerated, and non-invasive. Contraindications described include use on mucosal membranes, non-hair tourniquet, and allergy. Sixty-four percent (n = 55) of patients had resolution of their HTTS after one or two cycles of depilatory agent treatment.
The use of depilatory agents has multiple potential benefits. The authors propose a treatment algorithm for the use of depilatory agents in HTTS and recommend that all acute centers should store and train staff in their use.
发线止血带综合征（HTTS）是指头发线将附属物或组织束缚，导致远端组织缺血坏死。脱毛剂有松开发线止血带的潜力，同时使患者无需承担手术风险。
本综述旨在评估脱毛剂在 HTTS 中的有效性、益处、并发症和禁忌证。
使用 NHS 医疗保健数据库高级搜索引擎，使用 HTTS 和脱毛剂的相关术语在 MEDLINE 和 EMBASE 数据库中搜索文章。
在初步搜索中确定的 295 篇文章中，共有 19 篇被纳入最终综述。文章描述了脱毛剂的益处，包括无痛、耐受良好和非侵入性。禁忌证包括在黏膜上使用、非发线止血带和过敏。64%（n=55）的患者在使用脱毛剂一到两个周期后 HTTS 得到缓解。
使用脱毛剂有多种潜在益处。作者提出了 HTTS 中使用脱毛剂的治疗算法，并建议所有急症中心都应储存并培训员工使用脱毛剂。
