组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2024, Vol. 20 ›› Issue (2): 208-.

• • 上一篇    下一篇

中医外科技术结合长皮膏在术后创面修复中的临床应用

  

  • 出版日期:2024-04-30 发布日期:2024-05-14

Clinical application of traditional Chinese medicine surgical technology combined with Zhangpi ointment in postoperative wound repair

  • Online:2024-04-30 Published:2024-05-14

PDF (PC)

33

摘要：

　目的　观察中医外科技术结合长皮膏方案在术后创面修复中的临床疗效。方法　回顾性收集临床术后创面
病例65例，采用中医外科技术结合长皮膏的综合治疗方案，自身前后对照，观察临床效果。结果　术后创面65例，其中
肿瘤术后 33例（口腔颌面肿瘤术后 18例，乳腺肿瘤术后 10例，阴部肿瘤术后 3例，肺癌术后病例 2例），跟腱断裂术后
6例，心脏搭桥术后6例，下肢内固定取出术后3例，皮脂腺囊肿切排术后4例，肛旁脓肿术后3例，血管瘤切除术后2例，
植皮术后5例，剖腹产术后3例。结果治愈62例，无效3例，无效病例中1例骨髓炎，
2例肿瘤复发转移。治愈患者愈合
时间最短 6 d，最长时间 184 d。结论　中医外科技术结合长皮膏在术后创面修复中的临床疗效明显，能促进术后创面
修复，避免再次手术。

关键词:

Abstract:

Objective To observe the clinical efficacy of traditional Chinese medicine surgical technology combined with
Zhangpi ointment in postoperative wound repair. Methods A retrospective collection of 65 cases of postoperative wounds
was conducted， and a comprehensive treatment plan combining traditional Chinese medicine surgical techniques with
Zhangpi ointment was adopted. The clinical effects were observed through self control before and after treatment. Results
There were 65 cases of postoperative wounds， including 33 postoperative tumors （18 postoperative oral and maxillofacial
tumors，
10 postoperative breast tumors，
3 postoperative pudendal tumors， and 2 postoperative lung cancer），
6 postoperative
Achilles tendon rupture，
6 postoperative cardiac bypass surgery，
3 postoperative lower limb internal fixation removal，
4 postoperative sebaceous cyst resection and removal，
3 postoperative anal abscesses，
2 postoperative hemangioma resection，
5 postoperative skin grafting， and 3 postoperative cesarean section. As a result，
62 cases were cured and 3 cases were
ineffective. Among the ineffective cases， one was osteomyelitis， and two cases had tumor recurrence and metastasis. The
shortest healing time for cured patients was 6 days， and the longest was 184 days. Conclusion The combination of
traditional Chinese medicine surgical technology and Zhangpi ointment has a significant clinical effect in postoperative wound
repair， which can promote postoperative wound repair and avoid reoperation.

Key words:

Repair