皮内缝合与间断缝合对脊柱转移瘤手术切口愈合的影响  

Effect of Intradermal Suture and Interrupted Suture on Wound Healing in Spinal Metastases Surgery

作　　者：郭昱 宋晨阳[1] 莫家栋[1] 林海淋 陈奋勇[1] GUO Yu;SONG Chen-yang;MO Jia-dong;LIN Hai-lin;CHEN Fen-yong(Union Hospital Affiliated to Fujian Medical University,Fujian Fuzhou 350001)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《深圳中西医结合杂志》2022年第19期101-104,138,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:研究皮内缝合与间断缝合对脊柱转移瘤手术切口愈合的影响。方法:选取福建医科大学附属协和医院2020年1月至2021年12月收治的85例脊柱转移瘤需行手术的患者,将2020年1月至2020年12月入院的43例患者纳入对照组,采用间断缝合的方式缝合,2021年1月至2021年12月入院的42例患者纳入观察组,采用皮内缝合的方式缝合。比较两组患者手术切口缝合时间、换药次数、愈合时间、切口并发症、术后切口疼痛、愈合后瘢痕形成等情况。结果:两组患者切口长度比较,差异无统计学意义(P>0.05);观察组患者缝合时间、术后换药次数、愈合时间少于对照组,术后1个月温哥华瘢痕量表(VSS)评分低于对照组,差异均具有统计学意义(P<0.05);两组患者的并发症发生率比较,差异无统计学意义(P>0.05);观察组患者术后第1、2天的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。结论:皮内缝合操作便捷,相比于间断缝合更有利于促进切口愈合,改善切口瘢痕情况,缩短患者住院时长。Objective To study the effect of intradermal suture and interrupted suture on wound healing after spinal metastasis surgery.Methods A total of 85 patients with spinal metastases who needed surgery in Fujian Medical University Union Hospital from January 2020 to December 2021 were selected.43 patients admitted from January,2020 to December,2020 were included in the control group,and they were sutured by interrupted suture.A total of 42 patients admitted to the hospital from January,2021 to December,2021 were included in the observation group and were sutured by intradermal suture.The incision suture time,dressing change times,healing time,incision complications,postoperative incision pain,and scar formation after healing were compared between the two groups.Results There was no significant difference in incision length between the two groups(P>0.05).The suture time,the number of postoperative dressing changes,and the healing time of the observation group were less than those of the control group,and the Vancouver scar scale(VSS)score 1 month after the operation was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).The visual analogue scale(VAS)scores of the observation group on the first and second days after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with interrupted suture,intradermal suture is more conducive to promoting incision healing,improving incision scar,and shortening the length of hospital stay of patients.

关 键 词：脊柱转移瘤 皮内缝合 间断缝合 

分 类 号：R738.1[医药卫生—肿瘤]