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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。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.
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Key words:
- Wound healing /
- Abdomen /
- Rsidual foreign body /
- Chronic refractory wounds /
- Iatrogenic wounds /
- Sinus tract
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参考文献
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