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研究者总结了手套在整形外科中的50种创新用法,主要应用于手创伤、组织重建、烧伤、颅面手术以及仿真(simulation)。
手创伤
手指止血带(Digital tourniquet)
手腕止血带(Wrist tourniquet)
珠宝绝缘体(Jewelley insulator)
手托(Hand holder)
骨折牵引(Fracture traction)
骨折复位(Fracture reduction)
移除血流受阻的手指(Removal of strangulated fingers)
手部解剖教学(Hand anatomy teaching)
术前皮瓣设计(Pre-operative flap design)
Eponychial折叠夹板(Eponychial fold splint)
手指无菌区(Digital sterile field)
减缓手部水肿(Reducing hand oedema)
真空辅助闭合(Vacuum-assisted closure (V.A.C) dressing)
重 建
手指降温(Digital hypothermia)
乳房大小筛选(Breast sizer)
脚趾移植至手部(Toe-to-hand transfer)
移植与皮瓣选择模具(Stencil for graft and flap planning)
移植延伸器(Graft stretcher)
皮瓣“隧道”(Flap tunnelling)
皮瓣提升(Flap elevation)
确保干燥洁净的微脉管区(Ensuring a dry and clear microvascular field)
脂肪移植(Fat transfer)
皮肤移植“外衣”(Dressing for skin grafts)
尿道下裂修复(Hypospadias repair)
阴茎止血带(Penile tourniquet)
腋窝敷料包(Axilla dressings)
减少吸脂过程中空气泄露(Reduction of air leak during liposuction)
水介质(As a water media)
获取脂肪的“容器”(As part of a trap device in fat harvesting)
压缩手套(Compression gloves)
烧 伤
初步处理烧伤的防护套(Protective dressing for initial management of burns)
皮肤移植固定(Skin graft fixation)
手套-纱布“外衣”(Glove-gauze dressing)
颅面手术
毛发分离(Hair separation)
冰袋(Ice pack)
麻醉前冰敷(Pre-anaesthetic cooling)
止血(Haemostasis)
鼻腔填塞术(Nasal packing)
头皮重建(Scalp reconstruction)
移植术后冰敷(Graft cooling)
骨蜡模板护套(Sheath for bone wax template)
唇部重塑(Total lip reconstruction)
仿 真
肿瘤切除(Excision of tumours or cysts)
显微手术仿真技巧(Microsurgical simulation skills)
其 它
化学烧伤止血防护(The prevention of tourniquet-associated chemical burns)
手部手术中的自定位牵引器(As a self-retaining retractor in hand surgery)
手术排水管(As a surgical drain)
小腿与脚踝手术中作为脚部无菌遮盖物(As a sterile drape over feet during lower leg and ankle surgery)
缩小手术皮肤切口瘢痕(To minimise surgical skin incision scars)
处理未消毒的头部光源手柄(As a method of managing unsterile overhead light handles)
外科手套已经有一个多世纪历史,他们的性能逐渐进化,成就了它们在预防手术室交叉污染中无可争议的地位。成本效益和易用性促就了它们在整形外科中拓展应用,这对于发展中国家的外科医生具有一定的重要性,手套的创新用法可能导致医院预算压力得以缓解。