khoom

Kev loj hlob ntawmtxheej txheem zooyuav tsum muaj kev paub thiab kev nkag siab txog cov kev xav tau ntawm kev siv tshuabsuturing.

Thaum noj cov ntaub so ntswg tom, rab koob yuav tsum tau thawb los ntawm kev siv cov adab teg, yog tias nws nyuaj dhau los ntawm cov ntaub so ntswg, ib rab koob tsis raug yuav raug xaiv, los yog rab koob yuav blunt.

Lub zog ntawm lubcov ntaub ntawv sutureyuav tsum tau khaws cia thoob plaws kom tsis txhob slack sutures, thiab qhov deb ntawm cov sutures yuav tsum sib npaug.

Kev siv ib qho tshwj xeeb suture qauvTej zaum yuav txawv nyob ntawm qhov chaw raug sutured, qhov ntev ntawm qhov incision, qhov nro ntawm txoj kab suture, thiab qhov tshwj xeeb xav tau raukev, inversion,los yogEversionntawm cov ntaub so ntswg.

Suture qauvtuaj yeem ua tau dav categorized licuam ​​tshuam los yog txuas ntxiv.

D. Kev Hloov Cov Qauv

1. Cushing Suture

• Ib homkev hloov pauvntawmnruam kab rov tav sutures.
• Suture dhau los ntawmsubmucosa tab sis tsis mucosa.
• Cov txheej txheem no feem ntau siv los kaw qhov incisions hauvcov cev nqaij daim tawvxws li lub plab, zis zais zis, thiab uterus.
• Lub suture nkag mus rau hauv lubsubmucosatsis nkag mus rau hauv lub cev lumen.
• Lub suture khiav los ntawm ob sab ntawm qhov incision, parallel rau ib leeg.

Kev siv

• Kaw hollow viscera xws li zais zis, plab, los yog uterus.

2. Connell Suture

• Zoo ib yam liCushingtsuas yog ua kom tiavnkag mus rau hauv lub lumenntawm viscera.
• Cov txheej txheem no feem ntau siv los kaw qhov incisions hauvcov cev nqaij daim tawvxws li lub plab, zis zais zis, thiab uterus.
• Lub suture nkag mus rau hauv lubsubmucosa thiab mucosa.
• CovConnell suture txheej txheemyuav luag zoo tib yam rau covCushing suture txheej txheem. Ob txoj kev suture no tau sib cais raws li cov ntaub so ntswg uas lawv nkag mus thaum lub sij hawm suture passage.
• Connell suture txheej txheem yog siv los uahla lub lumen.

Kev siv

• Thawj txheej ntawm hollow viscera kaw (lub plab, zais zis, los yog uterus).

3. Lembert Suture

• Qhov no yogzoo ib yam li ntsug txaj suturethiab yog siv los kho lub cev hollow.
• Raws li qhov tuav txheej ntawm lub cev yog qhovsubmucosa, rab koob yuav tsum nkag mus rau qhov tob no thiab tsis txhob nkag mus rau hauv lub lumen (Peetration ofsubmucosa tab sis tsis mucosa).
• Raws li lub suture yog nruj nwsinverts cov ntaub so ntswg.

Kev siv

• Kaw hollow viscera xws li zais zis, plab, los yog uterus.
• Fascial imbrication.

4. Halsted Suture

• Cov txheej txheem yog qhov tseem ceeb tib yam li rau antsug txaj suturetshwj tsis yog tias ob lub sutures tau muab tso rau hauv ib qho kev sib luag ua ntej lawv raug khi.
• Qhov no tsim ibcuam ​​tshuam tus qauvnyob rau hauv uas cov ntug ntawm lubqhov txhab yog inverted.

Kev siv

• Ob txheej txheej kaw rau hollow viscera.

5. Parker Kerr Suture

• AKev sib xyaw ntawm Cushing thiab Lembert sutureqauv.
• Ob-txheej kaw yog keeb kwm siv rauaseptically invertib tug transected, clamped viscus.
• Ib txheej ntawmCushings sewn dhauib tug clamp thiab nruj raws li lub clamp raug tshem tawm.
• Ua raws li tus qauv inverting seromuscular (Ua haujlwm nrog Lembert).

Kev siv

• Kaw ntawm hollow viscera stumps.

6. Purse String Suture

• Circular variation ntawm Lembert.
• Ib qho tom yog noj nyob rau ib ntus nyob ib puag ncig ntawm qhov qhib kom thaum rub nruj, nws tuaj yeem ua kom me me los yog kaw tag nrho.
• Cov txheej txheem no tuaj yeem siv raukaw visceral stumpsthiab rauruaj ntseg percutaneous hlabmus rau hauv viscus xws li yuav pom nyob rau hauvplab hnyuvthiab cov txheej txheem cystostomy.
• Pab tau rau thaj chaw xws li lub qhov quav (kom kho qhov prolapse).

Kev siv

• Kaw ntawm hollow viscera stumps los yog kev ruaj ntseg ntawm cov hlab thiab catheters.