Email Alerts
RSS
Volume 37 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(8): 747-751
Tao GL,Liu YK,Tang JJ,et al.Application value of flexible endoscopy and rigid endoscopy in the clinical examination of chronic sinus tract wounds with different shapes[J].Chin J Burns,2021,37(8):747-751.DOI: 10.3760/cma.j.cn501120-20200318-00179.
Citation: Tao GL,Liu YK,Tang JJ,et al.Application value of flexible endoscopy and rigid endoscopy in the clinical examination of chronic sinus tract wounds with different shapes[J].Chin J Burns,2021,37(8):747-751.DOI: 10.3760/cma.j.cn501120-20200318-00179.
shu

Application value of flexible endoscopy and rigid endoscopy in the clinical examination of chronic sinus tract wounds with different shapes

doi: 10.3760/cma.j.cn501120-20200318-00179
  • 1.

    Wound Healing Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

  • 2.

    Radiology Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Funds:

Special Program for Trauma Repair of Science and Technology Action Plan of Major Disease Prevention and Treatment of National Health Committee of China 2017ZX01001

More Information
    Abstract
  •   Objective  To explore the application value of flexible endoscopy and rigid endoscopy in the clinical examination of chronic sinus tract wounds with different shapes.  Methods  A retrospective observational study was conducted. From January 1 to December 23, 2019, a total of 46 patients with chronic sinus tract wounds, who met the inclusion criteria were admitted to the Wound Healing Center of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, including 23 males and 23 females, aged 18-81 (48±21) years. On admission, computer tomography (CT) imaging and three-dimensional reconstruction were performed to examine the shapes of wound sinus tract and classify the wounds, with the lengths of wound sinus tract by CT imaging examination (hereinafter referred to as reference lengths) recorded. The lengths of wound sinus tract were examined and measured by rigid endoscopy and flexible endoscopy. The wounds with and without obviously curved sinus tract were classified into curve group and linear group respectively, and the deviation rates between the lengths of wound sinus tract measured by flexible endoscopy or rigid endoscopy and the reference lengths (hereinafter referred to as deviation rates of lengths) in each group were calculated. The difference between the deviation rates of lengths examined by flexible endoscopy and rigid endoscopy and the differences between the above two and the deviation rate of reference lengths (0) in each group were compared. Data were statistically analyzed with paired sample t test and Wilcoxon signed rank sum test.  Results  CT imaging and three-dimensional reconstruction showed that there were 4 types of wound sinus tract, including tubular (36/46), lamellar (4/46), club-mallet (4/46), and irregular (2/46) shape. Tubular wounds were further divided into type I (23/36), type L (4/36), and type Y (9/36). Wounds with type I tubular, lamellar, and club-mallet sinus tract were classified into linear group (31/46), while those with type Y tubular, type L tubular, and irregular sinus tract were classified into curve group (15/46). In linear group, the deviation rates of lengths examined and measured by rigid endoscopy and flexible endoscopy were 0. In curve group, the deviation rate of lengths examined and measured by flexible endoscopy was 0 (0, 0.58%), which was significantly lower than 41.18% (31.68%, 48.41%) examined and measured by rigid endoscopy, Z=-3.408, P<0.01; the deviation rate of lengths examined and measured by rigid endoscopy (40±19)% was significantly higher than the deviation rate of reference lengths (t=8.343, P<0.01), while the deviation rate of the lengths examined and measured by flexible endoscopy was similar to the deviation rate of reference lengths (Z=-1.342, P>0.05).  Conclusions  Compared with rigid endoscopy, flexible endoscopy can observe the internal characteristics of chronic sinus tract wounds in a wider range in the clinical examination of this kind of wound, especially for the exploration of curved chronic sinus tract wounds. The promotion of this method will be conducive to the diagnosis and treatment of chronic sinus tract wounds.

     

    • FullText(HTML)
  • loading
    • References(21)
  • [1]
    FonderMA,LazarusGS,CowanDA,et al.Treating the chronic wound:a practical approach to the care of nonhealing wounds and wound care dressings[J].J Am Acad Dermatol,2008,58(2):185-206.DOI: 10.1016/j.jaad.2007.08.048.
    [2]
    FlanaganM.Wound measurement: can it help us to monitor progression to healing?[J].J Wound Care,2003,12(5):189-194.DOI: 10.12968/jowc.2003.12.5.26493.
    [3]
    李中华,王海琴,杨波,等.不同方法治疗患者慢性窦道的效果比较[J].中华烧伤杂志,2014,30(1):72-75.DOI: 10.3760/cma.j.issn.1009-2587.2014.01.020.
    [4]
    周丽青,彭峥嵘,杨敏,等.窦道伤口护理的研究进展[J].全科护理,2017,15(15):1821-1825.DOI: 10.3969/j.issn.1674-4748.2017.15.010.
    [5]
    FerreiraMC,TumaP,CarvalhoVF,et al.Complex wounds[J].Clinics (Sao Paulo),2006,61(6):571-578.DOI: 10.1590/s1807-59322006000600014.
    [6]
    GrothierL,PardoeA.Chronic wounds: management of healing and wellbeing[J].Br J Nurs,2013,22(12):S24, S26-30.DOI: 10.12968/bjon.2013.22.Sup8.S24.
    [7]
    JørgensenLB,SørensenJA,JemecGB,et al.Methods to assess area and volume of wounds - a systematic review[J].Int Wound J,2016,13(4):540-553.DOI: 10.1111/iwj.12472.
    [8]
    ShamloulN,GhiasMH,KhachemouneA.The utility of smartphone applications and technology in wound healing[J].Int J Low Extrem Wounds,2019,18(3):228-235.DOI: 10.1177/1534734619853916.
    [9]
    付小兵.慢性难愈合创面防治理论与实践[M].北京:人民卫生出版社,2011:505.
    [10]
    唐佳俊,陆树良,马先,等.内镜在临床窦道型慢性创面探查中的应用价值[J].中华烧伤杂志,2018,34(6):365-369.DOI: 10.3760/cma.j.issn.1009-2587.2018.06.010.
    [11]
    黄顺荣,徐胜.微创外科的发展现状与技术应用[J].微创医学,2017,12(2):157-161.DOI: 10.11864/j.issn.1673.2017.02.01.
    [12]
    刘洪臣.微创医学与口腔微创医学[J].口腔颌面修复学杂志,2017,18(2):65-68.DOI: 10.3969/j.issn.1009-3761.2017.02.001.
    [13]
    黄德珍,徐向阳,李权,等.探究不同剂量CT扫描技术在臀部窦道造影患者中的应用价值[J].中国CT和MRI杂志,2016,14(6):115-117.DOI: 10.3969/j.issn.1672-5131.2016.06.037.
    [14]
    SavageJM,JefferySLA.Use of 3D photography in complex-wound assessment[J].J Wound Care,2013,22(3):156, 158-160.DOI: 10.12968/jowc.2013.22.3.156.
    [15]
    马先,陶贵录,奥布力阿西木·牙库普,等.内窥镜联合造影检查在邻近体腔的慢性窦道创面诊疗中的临床获益研究[J].中华烧伤杂志,2019,35(6):441-445.DOI: 10.3760/cma.j.issn.1009-2587.2019.06.008.
    [16]
    鲁晋,王亮,张永存,等.烧伤创面测量技术进展[J].中国医学装备,2016,13(9):131-133,134.DOI: 10.3969/J.ISSN.1672-8270.2016.09.040.
    [17]
    程琳难愈窦道性创面的三维空间立体重建——新的难愈窦道性创面评估方法的建立太原山西医科大学2016DOI:10.7666/d.D01089508

    程琳.难愈窦道性创面的三维空间立体重建——新的难愈窦道性创面评估方法的建立[D].太原:山西医科大学,2016.DOI:10.7666/d.D01089508.
    [18]
    甘露,张红,林伶,等.进口与国产腹腔镜设备与器械下活体动物实验训练效果比较[J].中国内镜杂志,2015,21(5):459-464.
    [19]
    鲁艳国产内窥镜耗材研发项目管理杭州浙江工业大学2016

    鲁艳.国产内窥镜耗材研发项目管理[D].杭州:浙江工业大学,2016.
    [20]
    徐勇勇,刘丹红.观察性研究方法与医院资料的统计分析[J].中国医院统计,2004,11(4):293-297.DOI: 10.3969/j.issn.1006-5253.2004.04.002.
    [21]
    张雯雯,周正东,管绍林,等.电子内窥镜的研究现状及发展趋势[J].中国医疗设备,2017,32(1):93-98.DOI: 10.3969/j.issn.1674-1633.2017.01.025.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (210) PDF downloads(21) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return