医用组织胶水在儿童眼部皮肤创口中的应用  

Application of Tissue Adhesive Glue in the Repairment of Eyelid Lacerations and Surgical Incisions in Children

作　　者：尹芙蓉[1] 李世莲[1] 

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院,武汉市妇幼保健院眼科,武汉430016

出　　处：《华中科技大学学报（医学版）》2017年第2期220-223,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨医用组织胶水在儿童眼睑皮肤创口中的应用及其效果。方法回顾性分析2015年11月至2016年10月武汉儿童医院眼科共458例眼部皮肤创口(眼睑皮肤裂伤或手术切口),分别采用医用组织胶水粘合技术及可吸收缝线缝合处理的效果。比较两组创口处置时间、疼痛程度、术后美观度等,术后随访3个月~1年,观察患儿眼部皮肤创口愈合情况。结果两组相比,医用组织胶水具有手术时间短,无痛,术后无疤痕,无需拆线等优点。结论医用组织胶水粘合技术是处理儿童眼部皮肤创口的一种简便有效,适合广泛开展的新方法。Objective To investigate the effect of tissue adhesive glue in the repairment of eyelid lacerations and surgical in cisions in children. Methods Retrospective comparison trial in paediatrie ophthalmology department. Children who presented for laceration and surgical incision repair between November 2015 and October 2016 were evaluated. Patients from 11 months old to 12 years old with a total of 458 patients were randomly allocated to either glue （258 cases） or sutures （200 controls） to repair their wound. Cases and controls were similar in age,wound length and width involved. Those with wound seriously in- fected and longer than 5 cm were excluded. Length of time to perform procedure, pain assessment of procedure by doctor, parent and child and cosmetic outcome in 3 months and 1 year were measured. Results Time taken to repair the wound was faster in the glue group （P〈0.01）. Doctors and parents and the children themselves rated glue repair as less distressing （P〈0.01）. Complications （wound dehiscence,infection and corneal damage） were the same in both groups （P〈0.05）. Cosmetic outcome was better in the glue group in 3 months and 1 year （P〈0.05）. Conclusion Tissue adhesive glue is faster and easier and less painful than suturing. Tissue adhesive glue has better cosmetic outcomes than suturing when used for the repair of eyelid lacerations and surgical incisions in children.

关 键 词：医用组织胶水 缝线 眼睑皮肤裂伤 手术切口 儿童 

分 类 号：R779.7[医药卫生—眼科]