经皮肤梭形切口切除皮下良性肿物的观察  

Observation on Percutaneous Shuttle Incisions in Removal of Subcutaneous Benign Tumors

作　　者：张杰 ZHANG Jie(Department of Wound Repair,People's Hospital of Xinyi City,Xinyi Jiangsu 221400,China)

机构地区：[1]江苏省新沂市人民医院创伤整复科,江苏新沂221400

出　　处：《中国继续医学教育》2019年第2期103-105,共3页China Continuing Medical Education

摘　　要：目的对经皮肤梭形切口切除皮下良性肿物的临床效果进行观察、总结和分析。方法以我院2016年12月—2018年1月接收的行经皮肤梭形切口切除皮下良性肿物的46例患者为研究对象,并设为观察组,另选择往年46例行传统经皮肤直线切口切除皮下良性肿物的患者为对照组。回顾性分析两组患者的临床资料,对比两组患者的手术效果和切口恢复情况。结果观察组患者治疗后切口平整,未发现"猫耳"现象,有1例出现臃肿,而对照组患者的外观平整度较差,有13例出现肿物破溃的情况,40例出现臃肿情况,4例出现"猫耳"现象,总体来看,观察组患者的切口情况好于对照组,且差异有统计学意义(P<0.05)。结论相对于传统直线切口,经皮梭形切口的可以避免直线切口导致的愈合切口周围的皮肤臃肿、瘢痕过长等缺点,提升整体的切口愈合效果,使切口更加美观。Objective To observe,summarize and analyze the clinical effects of percutaneous shuttle incisions in the removal of subcutaneous benign tumors.Methods From December 2016 to January 2018,46 cases of benign subcutaneous tumors were treated by percutaneous skin spindle incision in our hospital.They were set as observation group.Another 46 cases of benign subcutaneous tumors were selected as the control group.The clinical data of the two groups were retrospectively analyzed,and the surgical effect and incision recovery of the two groups were compared.Results After treatment,the incision of the patients in the observation group was smooth and there was no“cat's ear”phenomenon.There was 1 case of hypertrophy.In the control group,there were 13 cases of tumors bursting,40 cases of hypertrophy and 4 cases of“cat's ear”phenomenon.Overall,the incision of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with the traditional straight incision,the percutaneous spindle incision can avoid the shortcomings of skin swelling and excessive scar around the healing incision caused by the straight incision,improve the overall healing effect of the incision,and make the incision more beautiful.

关 键 词：梭形切口 皮下肿物 良性肿物 直线切口 对照分析 切口外观 

分 类 号：R739[医药卫生—肿瘤]