透過您的圖書館登入
IP:18.191.17.175

摘要


大多數耳科醫師在中耳手術後採取例行的乳突包紮,尤其是採耳後切口者,其目的在於保護傷口並預防傷口併發症。本報告統計術後沒有乳突包紮的77例中耳炎患者,發現沒有患者有血腫形成,僅有1例傷口感染。而有乳突包紮的對造組128例中,有5例發生傷口感染,其中2例合併有血腫形成。全部病人均為耳後切口。統計結果發現,省去乳突包紮並不會增加傷口併發症。另外,由實驗測得乳突包紮產生的壓力其變異極大,過大的壓力可能造成正常組織的壞死。因此我們認為中耳手術後可考慮省去乳突包紮,僅用紗布覆蓋傷口即可。

並列摘要


Most otologists have employed mastoid dressings routinely following middle ear procedures through postauricular incisions in order to provide wound dressings and to prevent complications. In this study, we found that there was no increase in wound complications in the patients without mastoid dressing (1/77) as compared to those with mastoid dressings (5/128). All patients had postauricular incisions. Also, according to our experiment by measuring with a balloon catheter and pressure gauge, the pressure exerted by the mastoid dressing was widely variable. A high pressure dressing might damage the normal tissue. We would conclude that using a piece of gauze to cover the wound, instead of a mastoid dressing, might serve as a simple and effective dressing method following middle ear surgery.

延伸閱讀


國際替代計量