改良“荷包”缝合法闭合皮肤圆形缺损的临床疗效  

Modified purse-string suture in closure of skin defects： scar minimization and tension adjustment

作　　者：杨洋[1] 王元元[1] 高扬[1] 杨亚东[1] 李国灵[1] 鲁元刚[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所整形美容科,重庆400042

出　　处：《中华医学美学美容杂志》2013年第6期426-429,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探索改良“荷包”缝合法在皮肤圆形缺损的修复中，对术中张力调节及术后瘢痕形成的影响。方法选择面部皮肤圆形病灶患者28例，沿病灶边缘切除，先利用皮内“荷包”缝合，缩小圆形缺损面积．再行顺皮纹方向的对位缝合达到I期线性闭合，术后7d拆线，观察疗效。结果所有患者面部器官无变形及移位，线性瘢痕长度较术前病灶长径短。除1例患者拆线后切口表皮裂开．其余切口均I期愈合，随访3个月至1年．治疗效果满意。结论改良“荷包”缝合法能I期线性闭合切口，可有效减少皮肤圆形缺损修复的瘢痕面积，维持邻近体表器官的正常形态及位置。Objective To explore the effect of intraoperative tension adjustment and postopera- tive scar formation in the treatment of circular skin defects using modified purse-string suture. Meth- ods Twenty-eight cases of circular lesions in the face region were selected and reseeted along the edge. We first used purse-string suture technique to reduce the circular defect area, and then closed the wound with linear suture in random direction. After 7 days, the stitches were removed and long- term follow-up effects were observed. Results All patients had no facial organ deformation and dis- placement, the length of the linear scar lesions was shorter than the preoperative length. In 28 cases, one patient＇s surgical wound was dehisced after removal of stitches in 24 h, and the rest of the skin defects healed after operation in stage I ~ All cases were followed up for 3 months to 1 year, and had a satisfactory therapeutic effect. Conclusions Modified purse-string suture can linearly close the dici- sion in stage I , reduce the scar area and maintain the normal morphology and relative position of the nearby organs.

关 键 词：“荷包”缝合 圆形皮肤缺损 张力 瘢痕 

分 类 号：R622[医药卫生—整形外科]