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目的：观察以α－氰基丙烯酸正丁酯为主要成分的医用粘合剂能否代替传统缝合术。方法：对８７例病人（男性６４例，女性２３例，年龄３４±ｓ１１ａ）在胸科手术中，采用医用粘合剂直接滴胶法或加用明胶海绵、自体组织等间接粘合法。结果：１７４次滴胶均于瞬间粘合固化１次成功，达到手术伤口止血、防漏、粘合的良好效果，无不良反应，术后随访３～１７ｍｏ未发生再出血和裂开等现象。结论：医用粘合剂可代替传统逢合术，对创面止血或针眼渗血及漏气有良好效果。
Objective: To observe whether n-butyl cyanoacrylate as the main component of medical adhesive can replace traditional suture. Methods: Eighty-seven patients (64 males and 23 females, age 34 ± s11a) underwent thoracic surgery. The patients were treated with medical adhesives by direct infusion or with gelatin sponge and autologous tissues. Results: 174 times of adhesive glue were cured in one instant and achieved a success, which achieved the good effect of hemostasis, leakage prevention and adhesion in surgical wounds without any adverse reactions. No recurrence of bleeding and rupture occurred after 3 to 17 months of follow-up. Conclusion: The medical adhesive can replace the traditional every coincidence, the wound bleeding or needle eye bleeding and leakage have a good effect.