异物残留致1例患者腹部慢性难愈合创面

王新刚; 余朝恒; 殷骏; 有传刚; 张惟; 韩春茂

doi:10.3760/cma.j.cn501120-20210419-00137

异物残留致1例患者腹部慢性难愈合创面

doi: 10.3760/cma.j.cn501120-20210419-00137

浙江大学医学院附属第二医院烧伤与创面修复科，杭州　　310009

详细信息

通讯作者:
韩春茂，Email：zrssk@zju.edu.cn

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出版历程
- 收稿日期: 2021-04-19
- 网络出版日期: 2022-08-12
- 刊出日期: 2022-06-20

A case of chronic refractory wound in the abdomen caused by residual foreign body

Department of Burns and Wound Repair, the Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou 310009, China

More Information

Corresponding author: Han Chunmao, Email: zrssk@zju.edu.cn

摘要

摘要: 2018年12月17日，浙江大学医学院附属第二医院收治1例因异物残留导致局部窦道形成的59岁男性患者。经检查，残留异物为患者27年前行阑尾切除手术时植入的“毡布”成分，23年前因右下腹阑尾炎手术致切口处增生性瘢痕形成，瘢痕切除术后继发感染导致创面不愈合。该次收入院后经手术治疗后创面完全愈合，术后病理检查提示局部肉芽肿性炎。该病例提示在植入物附近的手术操作一旦继发感染，容易形成慢性难愈合创面，积极手术治疗是有效手段。
- 伤口愈合 /
- 腹部 /
- 异物残留 /
- 慢性难愈合创面 /
- 医源性创面 /
- 窦道
Abstract: A 59-year-old male patient with local sinus tract formation due to residual foreign body was admitted to the Second Affiliated Hospital of Zhejiang University College of Medicine on December 17, 2018. The examination showed that the residual foreign body was the component of a sticky cloth implanted when the patient underwent appendectomy 27 years ago. Hypertrophic scar developed at the right-lower abdominal incision for appendectomy 23 years ago and the secondary infection after cicatrectomy resulted in non-healing of the wound. The chronic refractory wound healed completely after surgical treatment in our hospital after this admission. The postoperative pathological examination revealed local inflammatory granuloma. This case suggests that chronic refractory wound is likely to form when secondary infection occurs following the surgical procedure near the implant, and aggressive surgery is an effective way to solve this problem.
- Wound healing /
- Abdomen /
- Rsidual foreign body /
- Chronic refractory wounds /
- Iatrogenic wounds /
- Sinus tract

HTML全文

1 异物残留致腹部慢性难愈合创面形成患者治疗前后情况。1A.门诊检查时见右侧腹部靠近中线处窦道样创面；1B.入院第3天腹部CT检查提示右侧前下腹壁切口处皮下片状稍高密度影，并有少许积气；1C.入院第3天腹部磁共振成像检查提示右侧前下腹壁局部慢性感染伴窦道形成，病损位于腹直肌鞘前方，与周围组织毗邻关系明确；1D.入院第4天术中梭形切口设计；1E.入院第4天术中切除组织纵剖面情况，可见深部棉絮状沉积物及其周围纤维结缔组织；1F.手术后第3天切口对合整齐，创周未见明显炎症、充血

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