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预防实验家兔肉膜和深筋膜植入扩张器移位方法的改进

发布时间:2018-10-24 09:29
【摘要】:目的探讨预防兔肉膜和深筋膜植入扩张器移位的方法。方法普通级实验家兔40只,随机分为两组,即实验组20只和对照组20只。在其一侧背部皮肤肉膜深面自切口潜行分离形成植入腔穴,在腔穴周边,用3-0丝线间断缝合肉膜、深筋膜,植入50 m L肾形硅橡胶软组织扩张器。术后1周,用文刺机在扩张器周围四点做黑色文刺,用来标记扩张器位置。实验组术后2个月开始注水直至达到总量140 m L;对照组术后1周开始注水直至达到总量140 m L。分别观察和记录实验组和对照组扩张器在注水期间是否移位、切口是否裂开、注射壶是否翻转等并发症,以及动物的死亡率。结果实验组中没有兔子发生扩张器移位,对照组存活动物中有4只兔子发生扩张器移位,两组扩张器移位相比较,差异具有统计学意义P0.05㖞;实验组兔子扩张期切口裂开发生率虽然低于对照组,但两组比较没有统计学意义P0.05㖞;同时两组扩张器在注水壶翻转率、感染率及动物死亡率方面相比较都无统计学意义P0.05㖞。结论分离腔隙内固定加上延迟扩张的手术方法可有效预防兔肉膜与深筋膜之间的扩张器移位,实现有效扩张。
[Abstract]:Objective to explore the method of preventing the transposition of rabbit meat membrane and deep fascia implant dilator. Methods 40 rabbits of common grade were randomly divided into two groups: experimental group (n = 20) and control group (n = 20). The skin fleshy membrane on one side of the skin was separated from the deep surface of the skin on one side to form an implant cavity point. Around the cavity point, 50 mL renal silicone rubber soft tissue expander was implanted with 3-0 thread suture, deep fascia and 50 mL renal silicone rubber soft tissue expander. One week after operation, the spurs were used to mark the position of the expander at four points around the expander. Two months after operation, the experimental group began to inject water until the total amount reached 140 mL, while the control group began to inject water until the total amount reached 140 mL 1 week after operation. The complications such as the displacement of the dilator during the injection, the split of the incision, the reversal of the injection pot and the mortality of the animals were observed and recorded respectively in the experimental group and the control group. Results there was no dilator shift in the experimental group and 4 rabbits in the control group. The difference was statistically significant (P0.05); the incidence of incision rupture in the experimental group was lower than that in the control group, but there was no statistical significance between the two groups? P0.05; at the same time, the turn-over rate of the dilator in the two groups was lower than that in the control group. There was no significant difference in infection rate and animal mortality (P 0.05). Conclusion the separation of lacunar fixation and delayed dilatation can effectively prevent the transposition of dilator between rabbit meat and deep fascia and achieve effective dilatation.
【作者单位】: 中国医学科学院北京协和医学院整形外科医院;华北理工大学;
【分类号】:R622

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