Ghamsari S M, Taguchi K, Abe N, Acorda J A, Sato M, Yamada H
Department of Veterinary Surgery, Obihiro University of Agriculture and Veterinary Medicine, Hokkaido, Japan.
J Vet Med Sci. 1995 Oct;57(5):819-24. doi: 10.1292/jvms.57.819.
Experimentally-induced perforating wounds in 4 Holstein Friesian lactating cows were sutured using Gambee, continuous 2-layer (Cushing for submucosal layer and continuous horizontal mattress for skin and intermediate layer), separated 2-layer (simple continuous for mucosal layer and vertical mattress for skin and intermediate layer) and 3-layer (simple continuous for mucosal and intermediate layers, simple interrupted for skin) suture patterns. Wound healing was evaluated by radiograph, blood flowmetry, tensiometry, measurement of hydroxyproline content and histopathology. The present results suggest that 3-layer pattern provided the best healing of the entire teat. Mucosal hyperplasia was observed in Gambee and continuous 2-layer pattern while eversion of the skin, presence of suture tracts and greater amount of granulation tissue were observed in continuous and separated 2-layer patterns.
对4头荷斯坦弗里生泌乳奶牛进行实验性诱导的穿孔伤口缝合，采用了甘比缝合法、连续两层缝合（黏膜下层用库欣缝合法，皮肤和中间层用连续水平褥式缝合法）、分开两层缝合（黏膜层用单纯连续缝合法，皮肤和中间层用垂直褥式缝合法）和三层缝合（黏膜层和中间层用单纯连续缝合法，皮肤用单纯间断缝合法）模式。通过X线摄影、血流测定、张力测定、羟脯氨酸含量测量和组织病理学对伤口愈合情况进行评估。目前的结果表明，三层缝合模式能使整个乳头实现最佳愈合。在甘比缝合法和连续两层缝合模式中观察到黏膜增生，而在连续和分开两层缝合模式中观察到皮肤外翻、缝线通道的存在以及更多的肉芽组织。
