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摘要: 目的: 探讨自制克氏针取出器及方法对骨科关节置换术后引流管误缝的临床应用效果,使取出误缝的引流管更加方便。方法: 本研究为前瞻性队列研究,入组对象为我院2016-08-2019-07期间出现的4例骨科关节置换术后引流管误缝的患者。使用经简单加工的1 mm及3 mm克氏针辅助取出误缝引流管。结果: 4例患者引流管顺利并完整拔出,平均操作时间8.5(3.0~15.0)min,平均VAS评分4.8(2.0~6.0)分,无出血、伤口裂开等相关并发症,术后半年复查无感染表现。结论: 对于骨科术后引流管误缝,使用自制克氏针取出器处理具有风险低,创伤小,省时省力,医患双方易接受、易实施的优势。Abstract: Objective: To explore the clinical application effect of self-made Kirschner's needles extractor and the method for the misalignment of the drainage tubes after orthopedic joint replacement, which makes it more convenient to take out the misaligned drainage tube. Method: This study was a prospective cohort study. Four cases of misalignment of drainage tube after orthopedic joint replacement in our hospital from August 2016 to July 2019 were recruited. 1.0 mm Kirschner's needles which were simply processed and 3.0 mm Kirschner's needles were used to pull out the drainage tubes. Result: The drainage tubes of 4 patients were smoothly and completely pulled out, and the mean operation time was 8.5(range:3-15) min, mean VAS score was 4.8(range:2-6). There were no complications such as bleeding and wound splitting. There was no infection after 6 months.Conclusion: For the improper suture of drainage tube after orthopedic surgery, the use of self-made Kirschner's needle removal devices has the advantages of low risk, small trauma, time and labor saving, and easy acceptance and implementation by both doctors and patients.
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Key words:
- joint replacement /
- extractor /
- drainage tube /
- Kirschner's needle
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