生物胶联合减张缝合在急诊处置颏部高张创伤中的应用  

Observation of Rehabilitation Effect of High Tension ChinWound by Deep Subtractive Suture Combined with Biological Adhesive Scar of Epidermis

作　　者：孙爱华 康娜 温晓洲 刘键 郝军涛 时光远 SUN Ai-hua;KANG Na;LIU Jian;WEN Xiao-zhou;HAO Jun-tao;SHI Guang-yuan(ICU Rehabilitation and recuperationcenter of Tianjin,3003812;The Emergency department recuperationcenter of Tianjin,3003812)

机构地区：[1]天津康复疗养中心重症医学科,300381 [2]天津康复疗养中心急诊科,300381

出　　处：《岭南急诊医学杂志》2022年第5期442-443,446,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:评价皮下减张缝合联合表皮生物胶粘合对颏部高张伤口瘢痕的影响。方法:收集2018年06月到2019年12月在急诊科就诊的颏部裂伤病例。分为3组。n_(1)普通缝合方法组;n_(2)精准分层缝合组;n_(3)皮下减张缝合表皮生物胶粘合组。收集患者性别、年龄、伤口的情况、处置时间等。分别于受伤当时及伤后3个月、6个月照片,通过SCAR量表评价瘢痕情况。并评价创面处置速度。结果:n_(2)组和n_(3)组在3个月及6个月的SCAR量表评分低于n_(1)组,n_(3)组评分最低。n_(1)组速度最快。结论:皮下减张缝合联合表皮生物胶粘合在减少高张力伤口瘢痕形成方面效果优于普通缝合,在处置速度方面优于精准分层缝合。Objective:To evaluate the effect of subcutaneous tension⁃reducing suture combined with epidermal bio⁃logical adhesive on scar of chin hypertension wound.Methods:From June 2018 to December 2019,patients with jaw cleft injuries admitted to the emergency department were collectedanddivided into 3 groups.N_(1) general suture method group;N_(2) precision stratified suture group;N_(3) subcutaneous tension⁃reducing suture epidermal biological adhesivegroup.The patient􀆳s gender/age/wound condition,treatment time and so on were collected.At the time of injury and 3 months and 6 months after injury,scar condition was evaluated by SCAR scale.At the same time,the wound treatment speed was evaluated.Results:The SCAR scores of N_(2) and N_(3) groups at 3 and 6 months were lower than those of N_(1) group,and the SCAR scores of N_(3) group were the lowest,that of N_(1) was the fastest wound surface treatment.Conclusion:Subcuta⁃neous tension⁃reducing suture combined with epidermal biological adhesive is better than ordinary suture in reducing scar formation of high⁃tension wound,and is better than precise stratified suture in treatment speed.

关 键 词：颏部 高张力伤口 生物胶 SCAR量表 瘢痕康复 

分 类 号：R782.4[医药卫生—口腔医学]