康派特医用胶粘合与缝合在修复甲状腺手术切口方面的美学效果研究  

The Comparative Study on Aesthetic Effect of Thyroid Surgical Incision with Kangpaite Medical Glue Repair and Intradermal Suture

作　　者：王燕 刘静 田莲莲 WANG Yan;LIU Jing;TIAN Lian-lian(Operation Room,Qingdao Jiaozhou Central Hospital,Qingdao 266300,Shandong,Chin)

机构地区：[1]青岛市胶州中心医院手术室,山东青岛266300

出　　处：《中国美容医学》2018年第5期67-70,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对比分析康派特医用胶粘合与缝合修复甲状腺手术切口的愈合效果及美学效果,为甲状腺手术患者切口处理方案选择提供参考。方法:选择2015年1月-2017年12月在笔者医院行甲状腺手术的患者120例作为研究对象,按照手术切口处理方案将患者分为2组,缝合组63例患者采用传统缝合处理,粘合组57例可吸收缝线缝合真皮层后再采用康派特医用胶粘合修复表皮。比较两组患者切口缝合耗时,术后6h、24h、48h疼痛评分,切口愈合时间,切口愈合等级,切口愈合外观评分及患者满意率。结果:粘合组患者术中切口缝合时间,切口愈合时间,术后6h、24h、48h疼痛评分,切口甲级愈合率及切口愈合外观明显优于缝合组,且粘合组患者手术切口恢复满意率明显高于缝合组,差异均具有统计学意义(P<0.05)。结论:采用康派特医用胶粘合修复,术后切口愈合效果较好,尤其对切口外观恢复更具优势,具有较高临床价值。Objective To analyze the healing effect and aesthetic effect of incision in patients with thyroid surgery repaired by Kangpaite medical glue and intradermal suture, and provide reference for selection of patients with thyroid surgery incision treatment. Methods 120 patients underwent thyroid surgery January 2015 to December 2017 in our hospital were selected, and they were divided into two groups accorded to the surgical incision treatment, 63 patients in the suture group were treated with endovascular suture, the glue group（57 cases）were used to sew the dermis and then repaired with Kangpaite medical glue. The incision and suture time, postoperative 6 h, 24 h and 48 h pain score, incision healing time, incision healing level, incision healing appearance score and patient satisfaction rate between the two groups were compared. Results The time of incision suture, the healing time of the incision, the pain score of 6 h, 24 h and 48 h after operation, the rate of wound healing and the appearance of the wound healing in the glue group were obvioussly superior to those of the suture group, and the satisfaction rate of the surgical incision recovery was significantly higher than that in the suture group, the differences were statistically significant（P〈0.05）. Conclusion The operative incision was repaired with the Kangpaite medical glue, the healing effect of the incision was better, especially for the recovery of the incision appearance, and it is a high clinical value.

关 键 词：甲状腺手术切口 外观 康派特医用胶 缝合 切口愈合 美学效果 对比研究 

分 类 号：R622[医药卫生—整形外科]