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.

E. Tension Sutures

1. Interrupted Kab rov tav txaj Suture

• Lub koob tau dhau los ntawm ib sab ntawm qhov txhab mus rau lwm qhov (2-5 hlideb ntawm lub qhov txhab ntawm lub qhov txhab), ces horizontally rov qab hla lub qhov txhab, tawm hauv ib qho luv luv (6-8 hli) nruab nrab ntawm qhov tom.
• Qhov no tsim ibkab rov tav suturentawm ob sab ntawm qhov txhab.
• Tom qab ntawd ib lub pob yog muab tso rau koom nrog cov khoom siv suture ntawm tus thawj sab.
• Qhov no suture yogfeem ntau yog siv los txo qhov nro.
• Appositional rau everting suture qauv nyob ntawm qhov nruj ntawm ntuav.
• Ua taulim ntshav.

Kev siv

• Kaw nyob rau hauv cov cheeb tsam ntawm siab nro los yog siv nyob rau hauv lub kaw ntawmtiaj leeglos yog nqaij nrogtsawg kawg fascia hlab ntshantawm qhov txhab npoo.

2. Nthuav Ntoj Ntoj Npuag Suture

• Noj ib qho tom8-10 mmdeb ntawm qhov txhab thiab hla mus rau ib qhosib npaugdeb ntawm qhov txhab ntawm sab nraud.
• Lub suture yog tom qab ntawd rov qab hla lub qhov txhab, tab sis lub sij hawm no, ib qho tom yog muab vertically los ntawm qhov qub tom.3-4 mmdeb ntawm qhov txhab,tsim ib tug ntsug suturentawm ob sab.
• Tom qab ntawd ib lub pob yog muab tso rau koom nrog cov khoom siv suture ntawm tus thawj sab.
• Cov suture no muaj txiaj ntsig zoo ntawm kev txo qhov nro dua li lub txaj kab rov tav.
• Appositional rau everting.
• Muaj zog hauv cov ntaub so ntswg hauv qab nrotshaj li kab rov tav txaj.
• Tsawg dua yuav occlude cov hlab ntsha me ntawm lub qhov txhab.

Kev siv

• Kaw nyob rau hauv cov cheeb tsam ntawm kev kub ntxhov (piv txwv li qee qhov xwm txheej ntawm daim tawv nqaij kaw).

3. Far-Far-Nyob ze-Nyob thiab Far-Nyob ze-Nyob ze-Far Suture Pattern

• Variations ntawm ntsug txaj.
• Muaj peev xwm muab qhov tsim nyog nro rauqhov txhab approximationtsis ncaj nro rau qhov txhab ntug.

Kev siv

• Daim tawv nqaij, subcutaneous, thiab fascial kaw nyob rau hauv nruj nreem.

4. Interlocking Loop Suture

• Self-tightening suture 'locks' rau hauv cov ntaub so ntswg.
• Ntxig1/3 nruglos ntawmleeg leeg, nce raws li cov leeg, hla qhov sib txawv, looped hla cov leeg, thiab hla rov qab 1/3 ntawm ntug ntug, looped thiab khi
• Tsawg bulk insheathed tendons
• Ob chav locking voj siv raugastrocnemius leeg
• Txuas rau calcaneus tag nrhoxyaum qhov

Kev siv

• kho leeg.

5. Peb Loop Pulley Suture

• Peb loops ntawm suture oriented120 degreesmus rau lub voj voog dhau los.
• Zoo li hom qauv nyob ze tab sisrevolves nyob ib ncig ntawm cov leeg 360º.
• Thawj lub voj voog yog anyob ze,tom ntej nonruab nrab, kawg yognyob ze.
• Siab zog tensilethiab ntau yam tsis kam mus rau qhov sib txawv ntawm qhov sib txawv ntawm qhov sib txawv ntawm lub voj voog

Kev siv

• kho leeg.

F. Lwm cov qauv ntawm Suture

1. Suav Finger Trap Suture Pattern

• Hom suture no yog siv los uaruaj ntseg tub(xws li lub hauv siab ntws) ntawm lawv qhov chaw nkag mus rau hauv lub cev.
• Tension ntawm lub rajnce raws li lub raj yog rub, yog li tiv thaiv nws qhov kev tshem tawm.
• Ib qho tom yog noj ntawm ib sab ntawm lub raj thiab asquare knotmuab tso rau ib ncig ntawm lub raj.
• Covcov ntaub ntawv sutureyog muab rov qab ib ncig ntawm lub raj thiab ib tug kws phais neeg lub pob caus yog khi.
• Qhov no yog rov ua 5-10 zaug nyob ib ncig ntawm lub raj xaus nrog rau lwm cov square knot.

Kev siv

• Cov raj ruaj ntseg(xws li lub hauv siab ntws) ntawm lawv qhov chaw nkag mus rau hauv lub cev

Muajntau hom suture qauvmuaj los kaw qhov incisions thiab qhov txhab tau ntsib txhua hnub hauv kev xyaum.Xaiv cov qauv tsim nyog yog qhov tseem ceebkom ua tiav tsis tsuas yog tsis yooj yimkho qhov txhab,tab sis kuj zoozoo nkauj tsos.