CN107898489A - One kind skin-grafting packing fixed structure and fixing means - Google Patents
One kind skin-grafting packing fixed structure and fixing means Download PDFInfo
- Publication number
- CN107898489A CN107898489A CN201711262029.7A CN201711262029A CN107898489A CN 107898489 A CN107898489 A CN 107898489A CN 201711262029 A CN201711262029 A CN 201711262029A CN 107898489 A CN107898489 A CN 107898489A
- Authority
- CN
- China
- Prior art keywords
- skin
- wound
- scald
- grafting
- adhesive bandage
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000012856 packing Methods 0.000 title claims abstract description 27
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 claims abstract description 30
- 206010053615 Thermal burn Diseases 0.000 claims abstract description 30
- 239000000853 adhesive Substances 0.000 claims abstract description 23
- 230000001070 adhesive effect Effects 0.000 claims abstract description 23
- 239000002245 particle Substances 0.000 claims abstract description 23
- 229910052709 silver Inorganic materials 0.000 claims abstract description 23
- 239000004332 silver Substances 0.000 claims abstract description 23
- 229920000742 Cotton Polymers 0.000 claims abstract description 14
- 239000004744 fabric Substances 0.000 claims abstract description 9
- 239000003208 petroleum Substances 0.000 claims abstract description 8
- 238000004806 packaging method and process Methods 0.000 claims description 4
- 229940099259 vaseline Drugs 0.000 claims description 3
- 238000004140 cleaning Methods 0.000 claims description 2
- 230000001954 sterilising effect Effects 0.000 claims 1
- 208000015181 infectious disease Diseases 0.000 abstract description 9
- 238000000034 method Methods 0.000 abstract description 8
- 239000007788 liquid Substances 0.000 abstract description 4
- 206010002091 Anaesthesia Diseases 0.000 abstract 1
- 230000037005 anaesthesia Effects 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 208000027418 Wounds and injury Diseases 0.000 description 37
- 206010042345 Subcutaneous haematoma Diseases 0.000 description 4
- 230000007547 defect Effects 0.000 description 4
- 230000017074 necrotic cell death Effects 0.000 description 4
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000004264 Petrolatum Substances 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 210000001217 buttock Anatomy 0.000 description 2
- 206010012601 diabetes mellitus Diseases 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000002651 drug therapy Methods 0.000 description 2
- 210000000416 exudates and transudate Anatomy 0.000 description 2
- 210000002640 perineum Anatomy 0.000 description 2
- 229940066842 petrolatum Drugs 0.000 description 2
- 235000019271 petrolatum Nutrition 0.000 description 2
- 230000004083 survival effect Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 240000001624 Espostoa lanata Species 0.000 description 1
- 235000009161 Espostoa lanata Nutrition 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010061217 Infestation Diseases 0.000 description 1
- 210000003447 amputation stump Anatomy 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000002316 cosmetic surgery Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 238000007619 statistical method Methods 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/322—Skin grafting apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00747—Dermatology
- A61B2017/00752—Hair removal or transplantation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/322—Skin grafting apparatus
- A61B2017/3225—Skin grafting apparatus with processing of harvested tissue
Abstract
The invention discloses one kind skin-grafting packing fixed structure and fixing means, it is characterised in that：It is made of Petroleum gauze cloth, adhesive bandage with nm silver particle for scald, sterilized absorbent cotton, the adhesive bandage with nm silver particle for scald that tiling is sequentially overlapped on surface of a wound skin grafts, the connection between the surface of a wound skin grafts, Petroleum gauze cloth, adhesive bandage with nm silver particle for scald, sterilized absorbent cotton is fixedly connected using several skins nail.It is a kind of loose structure that the nano silver, which burns and scalds patch, wound tissue liquid and diffusate can effectively be drawn, reduce infection, a large amount of suture knotting operations are saved by the way that skin nail is fixed, simplify operating process, surface of a wound pressurization is uniform, skin grafts can effectively be fixed, and suture time is saved, the surgery anesthesia time is substantially reduced, can be applied to the transplanting of various large area, complicated surface of a wound skin graft.
Description
Technical field
The invention belongs to technical field of medical instrument, more particularly to a kind of skin-grafting packing fixed structure and fixing means.
Background technology
Skin grafting is the most basic clinical technology of Burn and Plastic Surgery Dept., and successful skin grafting can not only accelerate closing to create
Face, prevention infection, improve survival rate, can also significantly improve appearance.The key survived of making skin graft is：(1) stringent stop is needed
Blood, prevents subcutaneous hematoma caused by bleeding；(2) infection control is needed, reduces the bacterial population of skin-grafting area as far as possible；(3) it is good
Blood circulation environment；(4) firm pressure dressing and fixation.Fixed bad, skin graft displacement, lack appropriate pressure, will
Directly result in operative failure.
Traditional packing skin-grafting or the more uses of pressure dressing skin-grafting：By skin graft flap coverage and suture, in suitable spacing
Retain longer line tail for follow-up packaging operation, petrolatum gauze covered into skin graft, by cotton balls it is fluffy oppress skin graft
And turn down at the edge of petrolatum gauze to centre, the suture of adjacent several sutures and offside is knotted, to be formed to lower section
The compressing of cotton-wool, and then ensure that skin graft is definitely fixed on the surface of a wound.
Although this technology is with certain good effect, there are some following deficiency, (1) packing fixed operation are more numerous
It is trivial, the problem of having the operation that substantial amounts of suture knots, while cause medical staff's dressing inconvenient；(2) packing cannot solve to create greatly
The problem of face skin-grafting is fixed, conventional press wrapping cannot solve joint etc. and be not easy to wrap up the skin-grafting fixation problem at position.For big
The surface of a wound, the amputation stump sleeve-shaped surface of a wound after the surface of a wound, the complicated surface of a wound such as the pattern surface of a wound, the joint part surface of a wound, skin flaps, by
It is not easy in skin graft suture fixation and the reason such as uneven, tissue fluid inadequate drainage of pressure easily causes skin-grafting necrosis or trauma surface infestation hand
Art fails, and increases patient suffering, extends the hospital stays.
The content of the invention
The present invention mainly solves the technical problem present in the prior art, so as to provide a kind of simple to operate, applies
Plus-pressure is uniformly made skin graft packing fixed structure and its fixing means.
The above-mentioned technical problem of the present invention is mainly what is be addressed by following technical proposals：
One kind skin-grafting packing fixed structure, by the Petroleum gauze cloth that tiling is sequentially overlapped on surface of a wound skin grafts 5
1st, adhesive bandage with nm silver particle for scald 2, sterilized absorbent cotton 3, adhesive bandage with nm silver particle for scald 2 are formed, the surface of a wound skin grafts 5, vaseline oil
Connection between gauze piece 1, adhesive bandage with nm silver particle for scald 2, sterilized absorbent cotton 3 is fixedly connected using several skins nail 4.
Further, it is a kind of loose structure that the nano silver, which burns and scalds patch, can effectively draw wound tissue liquid and ooze
Go out liquid, reduce and infect and the healing of the surface of a wound can be promoted；Its size is adapted with surface of a wound skin grafts, purchased from Anqing biotechnology
Co., Ltd.
Further, the sterilized absorbent cotton 3 is filled uniformly between adhesive bandage with nm silver particle for scald 2, on the one hand can make wound
Face skin grafts obtain uniform pressure, and on the other hand, if there is the more situation of oozing of blood, sepage, it is convenient to replace.
Further, skin nail 4 is fixedly connected with by surface of a wound skin grafts, Petroleum gauze cloth 1, nano silver using skin nailing machine
Burn and scald patch 2, it is simple to operate, suture time can be greatly reduced.Specific fixing means step is as follows：
(a) the Petroleum gauze cloth 1, adhesive bandage with nm silver particle for scald 2, disinfection of tiling are sequentially overlapped on surface of a wound skin grafts
Absorbent cotton 3, adhesive bandage with nm silver particle for scald 2；
(b) first the side of above-mentioned skin-grafting packaging structure is fixed using several skins nail 4, then by tightening step (a)
Upper strata adhesive bandage with nm silver particle for scald, fixed residue edge, packing fixation terminate.
Adhesive bandage with nm silver particle for scald ensures certain tension force in the above process, in order to avoid forming too many fold, promotes the surface of a wound close
Close, surface of a wound pressurization fixation is constant, does not easily cause skin graft loosening, subcutaneous hematoma present situation.
Further, skin-grafting packing fixed structure and fixing means can be applied to various complicated surface of a wound skin grafts
Transplanting.
The skin nail is purchased from purchased from Beijing Hua Kangpumei Science and Technology Ltd.s, vaseline gauze cloth and sterilized absorbent cotton
In Shaoxing Fuqing amenities Co., Ltd.
The present invention has the advantages that compared with prior art：
1. it is of the invention compared with traditional packing fixed structure, save a large amount of suture knotting operations, letter by the way that skin nail is fixed
Change operating process, saved suture time, mitigate patient suffering.
2. the present invention facilitates medical care people by filling uniformly with sterilized absorbent cotton between 2 adhesive bandage with nm silver particle for scald
Member replaces, and the surface of a wound is obtained uniform pressure, can effectively absorb blood oozing from the wound surface and diffusate, ensures surface of a wound cleaning, reduces
Infection, infection rate 4%；
3. the present invention can be by being successively fixedly connected, whole process adhesive bandage with nm silver particle for scald ensures certain tension force, in order to avoid
Form too many fold；Promote wound surface enclosed, surface of a wound pressurization fixation is constant, does not easily cause skin graft loosening, subcutaneous hematoma present situation.
4. the transplanting of various complicated surface of a wound skin grafts, particularly large area grafts are the composite can be widely applied to,
The grafts of the fixed difficult surface of a wound of tradition packing.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
There is attached drawing needed in technology description to be briefly described, it should be apparent that, drawings in the following description are only this
Some embodiments of invention, for those of ordinary skill in the art, without creative efforts, can be with
Other attached drawings are obtained according to these attached drawings.
Fig. 1 is a kind of schematic diagram for packing fixed structure of making skin graft of the present invention
1- Petroleum gauzes cloth in figure, 2- adhesive bandage with nm silver particle for scald, 3- sterilized absorbent cottons, 4- skins nail, the transplanting of the 5- surface of a wound
Skin graft
Embodiment
The preferred embodiment of the present invention is described in detail below in conjunction with the accompanying drawings, so that advantages and features of the invention energy
It is easier to be readily appreciated by one skilled in the art, so as to make a clearer definition of the protection scope of the present invention.
As shown in Figure 1, a kind of skin-grafting packing fixed structure, when operation, is sequentially overlapped the woods of tiling on surface of a wound skin grafts
Oil gauze block 1, adhesive bandage with nm silver particle for scald 2, sterilized absorbent cotton 3, adhesive bandage with nm silver particle for scald 2, then first will using several skins nail 4
The side of above-mentioned skin-grafting packaging structure is fixed, then by tensing above-mentioned upper strata adhesive bandage with nm silver particle for scald, fixed residue edge, packing
Fixation terminates.
Whole process adhesive bandage with nm silver particle for scald ensures certain tension force, in order to avoid form too many fold；Promote wound surface enclosed,
Surface of a wound pressurization fixation is constant, does not easily cause skin graft loosening, subcutaneous hematoma present situation.
It is a kind of loose structure that nano silver, which burns and scalds patch, can effectively draw wound tissue liquid and diffusate, its size with
Surface of a wound skin grafts are adapted.
This kind skin-grafting packing fixed structure and fixing means can be applied to the transplanting of various complicated surface of a wound skin grafts.
The clinical effectiveness of the present invention is as follows:
(1) method
A:25 large skin defects that test group in October, 2016 accepts for medical treatment to Taizhou City in October, 2017 the People's Hospital
Patient, male 14 female 11, age 7-60 Sui is 30 years old average, neck 2, trunk 12, buttocks 2, joint part 7, abdomen
Butt crack, perineum 2.The internal medicine underlying diseases such as more than defect of skin 2%TBSA, non-diabetic, through using described in foregoing invention
Skin-grafting packing fixed structure and fixing means, drug therapy, whether the observation treatment surface of a wound good, whether there is purulent exudate.
b:23 large skin defects that control group in October, 2016 accepts for medical treatment to Taizhou City in October, 2017 the People's Hospital
Patient, male 12 female 11, age 3-57 Sui is 28 years old average, neck 1, trunk 10, buttocks 4, joint part 7, abdomen
Butt crack, perineum 1.The internal medicine underlying diseases such as more than defect of skin 2%TBSA, non-diabetic, through using traditional binding structure for binding,
Drug therapy, whether the observation treatment surface of a wound is good, whether there is purulent exudate.
(2) result
The patient 25 for the skin-grafting of the present invention packing fixed structure treatment that test group uses, 23 skin-grafting are all deposited
It is living, 2 skin-grafting edge necrosis, success rate 92%.The patient 23 for traditional binding structure for binding treatment that control group uses, 15 skin-grafting
Second operation, success rate 65% are passed through in all survivals, 5 skin-grafting edge necrosis, the most of necrosis wherein 1 of 2 skin-grafting.Through system
Count credit analysis x2Examine p<0.05, two methods have significant difference, for the complicated surface of a wound, make skin graft to pack using the present invention and fix
The success rate of structure treatment is higher than traditional binding structure for binding group.
The patient 25 for the skin-grafting of the present invention packing fixed structure treatment that test group uses, 1 surface infection warp
Cured after dressing anti symptom treatment, infection rate 4%.The patient 23 for traditional binding structure for binding treatment that control group uses, 4 surface of a wound senses
Dye is cured after applying antibiotic and dressing anti symptom treatment, infection rate 17.39%.Through statistical analysis x2Examine p<0.05, two kinds
Method has significant difference, for the complicated surface of a wound, using the infection rate of present invention skin-grafting packing fixed structure treatment less than tradition
Binding structure for binding group.
The above description is merely a specific embodiment, but protection scope of the present invention is not limited thereto, any
The change or replacement expected without creative work, should be covered by the protection scope of the present invention.Therefore, it is of the invention
Protection domain should be determined by the scope of protection defined in the claims.
Claims (5)
1. one kind skin-grafting packing fixed structure, it is characterised in that：By the vaseline that tiling is sequentially overlapped on surface of a wound skin grafts
Oil gauze block (1), adhesive bandage with nm silver particle for scald (2), sterilized absorbent cotton (3), adhesive bandage with nm silver particle for scald (2) are formed, and the surface of a wound moves
Connection between skin-grafting plate, Petroleum gauze cloth (1), adhesive bandage with nm silver particle for scald (2), sterilized absorbent cotton (3) uses several
Pi Ding (4) is fixedly connected.
A kind of 2. skin-grafting packing fixed structure according to claim 1, it is characterised in that：The nano silver, which is burnt, scalds patch (2)
It is a kind of loose structure.
A kind of 3. skin-grafting packing fixed structure according to claim 2, it is characterised in that：The nano silver, which is burnt, scalds patch (2)
Size be adapted with surface of a wound skin grafts.
A kind of 4. fixing means of packing fixed structure of making skin graft as claimed in claim 1, it is characterised in that：Specific steps are such as
Under：
(a) Petroleum gauze cloth (1), the nano silver of tiling are sequentially overlapped on the surface of a wound skin grafts after cleaning and sterilizing
Burn and scald patch (2), sterilized absorbent cotton (3), adhesive bandage with nm silver particle for scald (2)；
(b) first the side of above-mentioned skin-grafting packaging structure is fixed using several skins nail (4), then by tightening step (a)
Layer adhesive bandage with nm silver particle for scald, fixed residue edge, packing fixation terminate.
A kind of 5. fixing means of packing fixed structure of making skin graft according to claim 4, it is characterised in that：The skin-grafting is beaten
The fixing means of bag fixed structure can be applied to the transplanting of various complicated surface of a wound skin grafts.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711262029.7A CN107898489A (en) | 2017-12-04 | 2017-12-04 | One kind skin-grafting packing fixed structure and fixing means |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711262029.7A CN107898489A (en) | 2017-12-04 | 2017-12-04 | One kind skin-grafting packing fixed structure and fixing means |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107898489A true CN107898489A (en) | 2018-04-13 |
Family
ID=61854255
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711262029.7A Pending CN107898489A (en) | 2017-12-04 | 2017-12-04 | One kind skin-grafting packing fixed structure and fixing means |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107898489A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108703778A (en) * | 2018-06-15 | 2018-10-26 | 绵阳阿拉丁医学科技有限公司 | A kind of medical belt line skin nail hook and medical belt line skin follow closely hook structure |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1895683A (en) * | 2005-07-12 | 2007-01-17 | 深圳市爱杰特医药科技有限公司 | Nanometer-silver antibacterial coating, its preparation and use |
| CN101732079A (en) * | 2009-11-06 | 2010-06-16 | 赵松和 | Wound repairing strip |
| CN105395315A (en) * | 2015-11-03 | 2016-03-16 | 中国人民解放军第四军医大学 | Special dressing used after burn wound mesh grafting |
| CN107374683A (en) * | 2017-01-14 | 2017-11-24 | 中国人民解放军第四医院 | A kind of skin-closure device |
| CN209347165U (en) * | 2017-12-04 | 2019-09-06 | 泰州市人民医院 | A kind of skin-grafting packing fixed structure |
-
2017
- 2017-12-04 CN CN201711262029.7A patent/CN107898489A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1895683A (en) * | 2005-07-12 | 2007-01-17 | 深圳市爱杰特医药科技有限公司 | Nanometer-silver antibacterial coating, its preparation and use |
| CN101732079A (en) * | 2009-11-06 | 2010-06-16 | 赵松和 | Wound repairing strip |
| CN105395315A (en) * | 2015-11-03 | 2016-03-16 | 中国人民解放军第四军医大学 | Special dressing used after burn wound mesh grafting |
| CN107374683A (en) * | 2017-01-14 | 2017-11-24 | 中国人民解放军第四医院 | A kind of skin-closure device |
| CN209347165U (en) * | 2017-12-04 | 2019-09-06 | 泰州市人民医院 | A kind of skin-grafting packing fixed structure |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108703778A (en) * | 2018-06-15 | 2018-10-26 | 绵阳阿拉丁医学科技有限公司 | A kind of medical belt line skin nail hook and medical belt line skin follow closely hook structure |
| CN108703778B (en) * | 2018-06-15 | 2024-04-05 | 魏子人 | Medical belt line skin nail hook and medical belt line skin nail hook structure |
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