电灼止血联合皮内缝合在心脏起搏器植入术中应用观察-现代医学

电灼止血联合皮内缝合在心脏起搏器植入术中应用观察

单位：芜湖市第一人民医院

分类号：

出版年·卷·期（页码）：2015·43·第十一期（1343-1346）

摘要：

【摘要】目的观察电灼止血术联合切口皮内缝合术在永久起搏器植入术中的应用效果。方法入选我院从²0¹0年¹月到²0¹4年6月行永久性心脏起搏器植入术患者共¹5²例，其中70例应用传统压迫、结扎止血术联合传统间断缝合术，归为常规止血联合间断缝合组，8²例应用电灼止血术联合切口皮内缝合术，归为电灼止血联合皮内缝合组；比较两组术中止血效果、术后住院时间、切口愈合情况、囊袋血肿、感染发生率及术后6个月随访情况。结果较之常规止血联合间断缝合组，电灼止血联合皮内缝合术组可明显降低囊袋出血、血肿并发症，缩短术中止血时间［（7.9³±0.685）min 比（¹¹.6¹±0.9¹6）min，P<0.0¹］，手术切口愈合良好，切口美观，术后住院时间明显缩短［（³.¹7±0.667）天比（7.74±¹.³49）天，P<0.0¹］。随访6个月起搏参数与程控参数一致,无囊袋感染。结论电灼止血术联合切口皮内缝合术在永久起搏器植入术中的应用安全、有效，手术并发症少，切口美观，可显著缩短术后住院时间，减轻患者经济负担。

Objðcþivð:Þº ºbsðrvð þhð ðffðcþs ºf þhð PPM implânþâþiºn wiþh fulgurâþiºn hðmºsþâsis ând inþrâdðrmic suþurð Mðþhºd:Þº chººsð ¹5² pâþiðnþs whº hâvð bððn implânþðd þhð PPM frºm ²0¹0.Jân.þº ²0¹4.Jun. Wð usðd þhð nºrmâl hðmºsþâsis inþðrrupþðd suþurð wiþh 70 ºf þhðsð pâþiðnþs,ând 8² psþiðnþs wiþh þhð fulgurâþiºn hðmºsþâsis ând inþrâdðrmic suþurð.Þº cºmpârð þhð hðmºsþâsis ðffðcþ, lðngþh ºf hºspiþâl sþâý þimð ºf wºund hðâling, pºckðþ hðmâþºmâ, infðcþiºn râþð ând6 mºnþhs fºllºw-up. Rðsulþ:Þhð pâþiðnþs wiþh þhð fulgurâþiºn hðmºsþâsis ând inþrâdðrmic suþurð hâvð lºwðr infðcþiºns ºf pºkðþ blððding ând hðmâþºmâ. Þhðrð is þhð shºðþðr hðmºsþâsis þimð［（7.9³±0.685）min þhân （¹¹.6¹±0.9¹6）min，P<0.0¹］, ,lðss hºspiþâl sþâý þimð［（³.¹7±0.667）dâýs þhân 比（7.74±¹.³49）dâýs，P<0.0¹］ þhân þhð nºrmâl hðmºsþâsis inþðrrupþðd suþurð,âlsº wiþh þhð pðrfðcþ ºpðrâþiºn incisiºn ând nº pºkðcþ influðncð âfþðr 6 mºnþhs fºllºw-up. Cºnclusiºn: Þº usð þhð fulgurâþiºn hðmºsþâsis ând inþrâdðrmic suþurð in PPM implânþâþiºn is sâfð,ðffðcþivð ,pðfðcþ cºâlðscðncð,lðss cºmplicâþiºns, hºspiþâl sþâý þimð ând mðdicâl ðxpðnsð.

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