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Man-Cheng Xia Ke-Qiang Yin Yu-Sheng Wang Jia-Wei Chen Xiao-Dong Bian Wei-Bing Shuang 《护理前沿(英文)》2021,8(1):83-89
We report a case of aseptic abscess in the cavernous body at the base of the penis.In our clinical observation,the patient underwent puncture and drainage of the corpus cavernosum abscess,followed by surgical resection of the abscess wall,with the incisions closed layer by layer with primary suture.In addition,we paid attention to strengthening the postoperative management by using elastic bandages to wrap the penis intermittently to prevent edema;the incision would not be covered with dressings from the third day after the operation,so as to keep the incision site dry in an open way.During the period of indwelling of the catheter after the operation,we noticed the care of the external orifice of the urethra to reduce the occurrence of catheter-related infections.Finally,the patient was diagnosed with a penile aseptic abscess in the cavernous body at the base of the penis.The patient recovered well after surgery and was discharged 1 week later.At 1.5 years after the operation,the shape of the penis returned to normal,and the erectile function was normal.It was seen that good nursing concept is of great help for prognosis,which could avoid infection and edema,and is conducive to wound healing. 相似文献
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Objective: Fast-absorbing polyglactin 910 is commonly used to suture skin and vaginal incisions. In vitro studies have shown similar tensile strength properties between Velosorb? Fast and Vicryl? Rapide (Al-Qattan MM. J Hand Surg Br Eur. 2005;30(1):90–91). This randomized study compared Velosorb? Fast (Covidien) with Vicryl? Rapide (Ethicon) in a rabbit model of intradermic suture and episiotomy. Materials and Methods: This randomized prospective study was performed on 20 New Zealand rabbits, in which we realized a mediolateral perineo-vaginal incision and two vertical skin incisions of about 8 cm on the abdominal wall. The sutures were randomized between Velosorb? Fast (Covidien) and Vicryl? Rapide (Ethicon), and each rabbit was treated with the same suture on both vaginal incision and left abdominal incision, while the right abdominal incision was closed with an alternate suture. A macroscopic examination was performed on days 5 and 11. On day 11, animals were sacrificed for histological (Badylak quantitative score) and electron microscopic examinations. Differences were considered significant at p < .05. Results: All of the rabbits survived and were included in the final results. Fifty-one sutures were visible by histologic analysis (27 in the Velosorb? Fast group and 24 in the Vicryl? Rapide group). The power of the study was ≥80%. There was no significant difference between the two groups based on the total histologic Badylak score analysis or the Badylak sub-score analysis. Conclusions: Velosorb? Fast seems to be as efficient as Vicryl? Rapide for use in perineal and skin closure. 相似文献
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Shota Goto Yuko Fujita Maika Hotta Ayako Sugiyama Kenshi Maki 《The Angle orthodontist》2015,85(6):969
Objective:To examine the effects of a soft diet and a low-calcium diet on the craniofacial growth and bone architectures of the maxilla and mandible.Materials and Methods:Male rats (n = 20, 3 weeks old) were divided into four groups. Ten rats were given a normal-calcium diet, and the other rats were given a low-calcium diet. Each group was then divided into two subgroups, which were fed a hard or a soft diet. After 4 weeks, craniofacial growth and architecture in maxillary and mandibular bone were analyzed using cephalometry, micro-computed tomography, and histopathology.Results:The low-calcium diet had no effect on serum calcium levels. The low-calcium diet had the greatest effect on craniofacial bone growth, while the soft diet affected the growth of several bone sites that are attached to the masseter muscle. A low-calcium diet resulted in the deterioration of the connectivity of the trabeculae in the furcation region of the maxillary and mandibular first molar, while a soft diet resulted in the diffuse disappearance of trabeculae in the central part of the furcation regions. In the midpalatal suture, a low-calcium diet resulted in inhibition of cartilaginous ossification, although the midpalatal suture had a normal cartilaginous structure. A soft diet resulted in narrower cartilage cell layers in the midpalatal suture.Conclusions:We demonstrated that a low-calcium diet and a soft diet resulted in a deterioration of bone structures in both the maxilla and in the mandible; however, the mechanisms underlying these effects differed between diets. 相似文献
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【摘要】〓目的〓通过超声心动图比较继发性三尖瓣反流患者行三尖瓣缝线成形术和成形环成形术的早期和中期效果,评价两种三尖瓣成形方法的疗效。方法〓回顾性分析我院2008年1月~2013年6月行三尖瓣成形术治疗的,并能追踪到而且进行了随访的继发性三尖瓣反流患者 175 例,根据成形方法分成两组:缝线成形术组 143例(82%),使用成形环成形术组 32 例(18%),分别于术前、术后一个月、术后一年通过超声心动图测量左室射血分数(LVEF)、三尖瓣反流束面积(TRA)、三尖瓣反流分数(TRF)、右室前后径(RVD)、右房上下径(RAD1)及右房左右径(RAD2),比较术前、术后半个月及术后1年时各参数的变化。结果〓两组患者,与术前相比,所有患者术后一个月TRA、TRF及RVD、RAD1及RAD2均显著降低(P<0.05),LVEF无显著变化(P>0.05);术后1年,缝线成形术组的患者TRF较术后一个月显著增加(P<0.05),其余指标无明显变化(P>0.05);而使用成形环组术后一年,所有指标较术后一个月无显著变化(P>0.05)。结论〓三尖瓣成形环成形术治疗三尖瓣反流,在术后中期仍可维持良好的疗效。超声心动图对三尖瓣反流的程度可提供半定量信息,在术前及术后随访中有着重要的应用价值。 相似文献
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目的探讨B-Lynch缝合术治疗剖宫产后出血的效果。方法对8例剖宫产后出血患者采用B-Lynch缝合术治疗,回顾性分析患者的病历资料。结果 8例患者均经B-Lynch缝合术成功止血,无1例因血液循环不良或再出血手术或子宫切除。子宫复旧、月经复潮时间无异常。结论剖宫产后子宫收缩乏力性出血药物治疗无效时,B-Lynch缝合术操作简单易行,止血效果可靠,尤其适合在基层医院开展。 相似文献