小切口连续皮内缝合法与常规切口单纯缝合法在体表脂肪瘤切除中应用效果对比  

Comparative of the Effect of Small Incision Continuous Intradermal Suture and Conventional Incision Simple Suture in the Treatment of Lipoma on the Body Surface

作　　者：陈光新 CHEN Guangxin(Taishan People’s Hospital,Taishan 529200,China)

机构地区：[1]台山市人民医院,广东台山529200

出　　处：《中外医学研究》2020年第16期121-123,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析小切口连续皮内缝合法与常规切口单纯缝合法在体表脂肪瘤切除中应用效果。方法:回顾性分析2018年5月-2019年5月本院门诊手术的58例体表脂肪瘤患者临床资料,根据术后缝合方式分为连续皮内缝合组(n=30)和单纯缝合组(n=28)。两组患者均进行体表脂肪瘤的切除术,单纯缝合组患者手术采用常规切口,手术结束时采用单纯缝合法进行缝合;连续皮内缝合患者手术采用小切口,手术结束时采用连续皮内缝合法进行缝合。比较两组患者术后切口愈合情况、术后满意度、并发症的发生情况,术后1个月采用温哥华瘢痕量表(VSS)、观测者瘢痕评价量表(OSAS)对美观度进行评分。结果:连续皮内缝合组患者甲级愈合率(90.00%)略高于单纯缝合组(82.14%),比较差异无统计学意义(P>0.05);连续皮内缝合组术后满意度高于单纯缝合组(P<0.05);连续皮内缝合组术后并发症发生率低于单纯缝合组(P<0.05);连续皮内缝合组术后1个月连续缝合组患者VSS、OSAS评分均低于单纯缝合组(P<0.05)。结论:与常规切口单纯缝合法相比,小切口连续皮内缝合法在体表脂肪瘤切除中应用效果显著,能够促进伤口的愈合、提高手术满意度及减少术后并发症的发生,且能减少瘢痕的增生从而增加美容效果。Objective:To analyze the effect of small incision continuous intradermal suture and conventional incision simple suture in the resection of lipoma.Method:The clinical data of 58 patients with lipoma on the body surface from May 2018 to May 2019 were analyzed retrospectively.According to the postoperative sutures,they were divided into continuous intradermal sutures group (n=30) and simple sutures group (n=28).The patients in the simple sutures group were sutured with conventional incision and simple suture at the end of the operation.The patients in the continuous intradermal sutures group were sutured with small incision and continuous intradermal suture at the end of the operation.One month after the operation,the Vancouver scar scale (VSS) and observer scar rating scale (OSAS) were used to evaluate the beauty.Result:The first-class healing rate in the continuous intradermal sutures group (90.00%) was slightly higher than that in the simple sutures group (82.14%),but there was no significant difference (P>0.05).The postoperative satisfaction rate in the continuous intradermal sutures group was higher than that in the simple sutures group (P<0.05).The postoperative complications rate in the continuous intradermal sutures group was lower than that in the simple sutures group (P<0.05).The score of VSS and OSAS one month after operation in the continuous intradermal sutures group were lower than those in the simple sutures group (P<0.05).Conclusion:Compared with the conventional incision and simple suture,the small incision and continuous intradermal suture has a significant effect in the removal of lipoma on the body surface,which can promote the wound healing,improve the satisfaction of operation,reduce the occurrence of postoperative complications,and reduce the hyperplasia of scars,so as to increase the aesthetic effect.

关 键 词：连续皮内缝合 单纯缝合 脂肪瘤 应用效果 

分 类 号：R739.5[医药卫生—肿瘤]