两种缝合方法在创伤整形手术患者中的应用及美容效果对比分析  

Application of two suture methods in patients with traumatic plastic surgery and comparative analysis of cosmetic effects

作　　者：郑凡[1] 蔡玉娥[1] 张攀攀 ZHENG Fan;CAI Yu-e;ZHANG Pan-pan(Department of Burn and Plastic Surgery,Shangqiu First People＇s Hospital,Henan Province,476100,China)

机构地区：[1]商丘市第一人民医院烧伤整形外科,河南商丘476100

出　　处：《中国医疗美容》2018年第11期44-47,共4页China Medical Cosmetology

摘　　要：目的分析两种缝合方法在创伤整形手术患者中的应用情况及美容效果。方法选择我院2014.08-2017.08收治的92例拟行急诊创伤缝合或无菌整形手术患者,随机均分为传统缝合组与改进缝合组,比较两组患者痊愈后瘢痕情况、术后不良反应、切口愈合良好率与总体美容满意度。结果 6个月后随访,改进缝合组瘢痕宽度、瘢痕最薄处厚度均显著小于传统缝合组(P<0.05);缝合后2周,改进缝合组线结反应0度率显著高于传统缝合组(P<0.05);术后至随访期间,改进缝合组总不良反应发生率为4.35%,显著低于传统缝合组的17.39%(P<0.05);6个月后随访,传统缝合组切口愈合良好率为86.95%,改进缝合组切口愈合良好率为97.82%,差异显著(P<0.05),传统缝合组总体美容满意度为78.26%,显著低于改进缝合组的95.65%(P<0.05)。结论改进美容缝合法可显著改善患者创伤整形手术后的切口外观与瘢痕情况,有效预防线结反应与不良反应,切口愈合效果显著优于传统缝合法。Objective To analyze the application and cosmetic effects of two suture methods in patients with traumatic plastic surgery. Methods 92 cases of patients who underwent emergency traumatic suture or aseptic plastic surgery in our hospital from August 2014 to August 2017 were selected and randomly divided into traditional suture group and modifed suture group. The scars after recovery, postoperative adverse reactions, good rate of incision healing and overall cosmetic satisfaction were compared between the two groups. Results After 6 months of follow-up, the scars width and scars thickness of thinnest area in modifed suture group were signifcantly lower than those in traditional suture group （P〈0.05）. At 2 weeks after suture, the 0-degree rate of knotting reactions in modifed suture group was signifcantly higher than that in traditional suture group （P〈0.05）. During the period of post-operation to follow-up, the incidence rate of total adverse reactions in modified suture group was significantly lower than that in traditional suture group （4.35% vs 17.39%） （P〈0.05）. At follow-up after 6 months, the good rate of incision healing was 86.95% in traditional suture group and 97.82% in modifed suture group （P〈0.05）. The overall cosmetic satisfaction in traditional suture group was signifcantly lower than that in modifed suture group （78.26% vs 95.65%） （P〈0.05）. Conclusions Modifed cosmetic suture method can signifcantly improve the incision appearance and scars after traumatic plastic surgery, and effectively prevent the knotting reactions and adverse reactions. And its incision healing effect is signifcantly better than that of traditional suture method.

关 键 词：改进美容缝合法 传统缝合法 创伤整形手术 

分 类 号：R641[医药卫生—外科学]