改良多重减张缝合法在难愈性伤口中的临床应用  

Clinical application of modified multiple tension reduction suture in refractory wounds

作　　者：黄相[1] 黄以添[1] 刘紫琪 林丽丽[1] 于弘峻 肖锋 HUANG Xiang;HUANG Yitian;LIU Ziqi;LIN Lili;YU Hongjun;XIAO Feng(Department of Burn,Plastic and Wound Repair Surgery,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin 541002,China)

机构地区：[1]广西壮族自治区南溪山医院烧伤整形与创面修复外科,广西桂林541002 [2]桂林医学院,广西桂林541002

出　　处：《中国美容整形外科杂志》2022年第7期431-434,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200315)。

摘　　要：目的比较改良多重减张缝合法(遵义缝合法)和传统减张缝合法对难愈性伤口的治疗效果。方法自2019年5月至2020年12月,广西壮族自治区南溪山医院烧伤整形与创面修复外科收治80例难愈性伤口患者,随机分为观察组(改良多重减张缝合术)和对照组(传统减张缝合术),每组40例。分析两组患者切口愈合质量、温哥华瘢痕评分(vancouver scar scale,VSS)和患者对瘢痕满意度。结果观察组患者VSS瘢痕评分低于对照组,切口甲级愈合率和患者满意度均高于对照组,差异均具有统计学意义(P<0.05)。结论改良多重减张缝合法相比传统减张缝合法,用于难愈性伤口具有伤口愈合较好、瘢痕遗留不明显、患者满意度高等优势,值得临床推广应用。Objective To compare the efficacy of modified multiple tension reduction suture(Zunyi Suture)and traditional tension reduction suture in the treatment of refractory wounds.Methods From May 2019 to December 2020,80 patients with refractory wounds in our department were randomly divided into the observation group(modified multiple tension reduction suture)and the control group(traditional tension reduction suture),40 cases in each group.The quality of wound healing,Vancouver Scar Score(VSS)of scar and patient satisfaction were analyzed.Results The VSS score in the observation group was lower than that in the control group.The wound healing rate and patient satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion Compared with the traditional tension reduction suture,the modified multiple tension reduction suture has the advantages of good wound healing,concealed scar and high patient satisfaction.

关 键 词：多重减张缝合技术(遵义缝合法) 难愈性伤口 瘢痕 

分 类 号：R615[医药卫生—外科学]