扩张器注射壶及导管相关并发症的回顾性分析研究(3)
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3.4 通过对本组病例注射壶及导管渗漏的有效处理，我们总结并提出如下处理体会：①手术处理注射壶时必须严格无菌操作，预防感染发生；②修复渗漏部位时，慎防胶水接触皮肤或流入其他部位；③每次注水操作时，尽可能避免同一部位或粘堵部位反复穿刺注水；④再次渗漏部位可反复多次涂抹胶水进行粘堵；⑤较大或较明显注射壶破损渗漏也可用该胶水进行粘牢封堵；⑥注水时即使有少许渗漏存在，仍可继续完成注水操作，随后用夹子卡住连接管可完全阻止渗漏发生；⑦经过组装改进置换的注射壶，可处理由注射壶和导管引发的渗漏。
综上所述，虽然皮肤软组织扩张术在整形外科临床已普遍使用，对体表瘢痕、血管瘤、色素痣、秃发和器官缺损等修复重建有较好的治疗效果，但其也存在并发症多、治疗时间长等问题。扩张器注射壶及导管引发的相关并发症，特别是渗漏，看似轻微，但确严重影响扩张治疗进程和治疗效果，给患者造成一定的身心压力和经济损失，处理不当甚至可导致扩张失败，需要在临床工作中引起重视。如何降低扩张器并发症的发生率，提高扩张治疗效果，仍需要进行深入研究和探讨。
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