双向倒刺可吸收线在双环法乳房悬吊术中的应用价值  

Application of bidirectional absorbable barbed suture in double-ring breast reduction mastopexy

作　　者：邹群[1] 吴社华[1] 党云文[1] 

机构地区：[1]同济大学附属同济医院普通外科,上海200065

出　　处：《外科研究与新技术》2016年第4期241-244,共4页Surgical Research and New Technique

摘　　要：目的观察新型缝合材料双向倒刺可吸收线(Quill^(TM)SRS线)在双环法乳房悬吊术中的应用价值。方法选择17例乳房下垂的病例,术前设计双环形手术切口,术中应用双向倒刺可吸收线(Quill^(TM)SRS线)连续缝合手术切口(Quill^(TM)SRS组),比较以往21例用传统无齿单丝可吸收线间断缝合切口(传统缝线组)的手术缝合时间、伤口愈合情况,随访术后第6个月的手术疤痕及美观效果。结果在双环法乳房悬吊术中应用双向倒刺可吸收线(Quill^(TM)SRS线)缝合双环形手术切口,缝合时间和伤口愈合时间均明显短于传统缝合组(P<0.05),术后第6个月疤痕情况及美观效果优于传统缝合组,差异有统计学意义(P<0.05)。结论双向倒刺可吸收线(Quill^(TM)SRS线)在双环法乳房悬吊术中应用缩短手术缝合时间,抗皮肤张力强,降低疤痕增生发生率,远期美容效果好,是一种可推广使用的新型缝合材料。Objective To observe the value of bidirectional barbed absorbable suture （QuillTM SRS suture） in double-ring breast reduction mastopexy. Methods A total of 17 cases of breast ptosis were enrolled in this study who were subject to continuous suturing on double-circle incision designed preoperatively with QuillTM SRS suture （QuillTM SRS group）. Previous 21 cases were subject to interrupted suture with conventional nonbarb absorbable filament （conventional suture group）. The suture time, wound healing and scar appearance in 6-month follow up were observed and compared between two groups. Results The time of suture and wound healing in QuillTM SRS group was significantly shorter than that in conventional suture group （P〈0.05 for both）. Moreover, the scar appearance of QuillTM SRS group was better than that of conventional suture group in 6-month follow up. Conclusion The use of QuillTM SRS suture in periareolar mastopexy can significantly decrease the suture time, improve the long-term quality of high-tension scars by more effective tension unloading, and reduce the incidence of hyperplasia of scar. QuillTM SRS suture can be widely applied in clinical treatment as a new suture material.

关 键 词：双向倒刺可吸收线 缝合技术 乳房下垂 乳房悬吊术 

分 类 号：R655.8[医药卫生—外科学]