210例颌面部皮肤裂伤儿童的急诊美容缝合  

Emergency cosmetic suturing of 210 children with maxillofacial skin lacerations

作　　者：赵云 谭国静 张秀容[1] 王桂林[1] 刘兵[1] ZHAO Yun;TAN Guojing;ZHANG Xiurong;WANG Guilin;LIU Bing(Department of Emergency,Yibin Second People’s Hospital/Yibin Hospital of West China Hospital of Sichuan University,Yibin,Sichuan 644000,P.R.China)

机构地区：[1]宜宾市第二人民医院/四川大学华西医院宜宾医院急诊科,四川宜宾644000

出　　处：《华西医学》2024年第11期1710-1713,共4页West China Medical Journal

基　　金：宜宾市卫生健康委员会科研课题项目(2021YW004)。

摘　　要：目的 分析接受急诊美容缝合的颌面部皮肤裂伤儿童的病例资料,为颌面部皮肤裂伤儿童的诊疗提供参考。方法 回顾性收集宜宾市第二人民医院临港院区急诊科2023年3月-2024年3月就诊接受急诊美容缝合的颌面部皮肤裂伤儿童的病历资料,对患儿的临床特点、诊疗和随访情况等进行分析总结。结果 共纳入颌面部皮肤裂伤患儿210例,其中142例为男孩,占67.62%。患儿年龄以3岁最多,有39例,占18.57%。5例患儿有2处裂伤,其中3例在同一部位,2例不在同一部位。患儿的皮肤裂伤部位以额部最多,占比为46.23%(98例)。患儿颌面部皮肤裂伤的病因以自行摔倒最多,占51.43%(108例)。患儿的颌面部皮肤裂伤主要为轻伤(共168例,占80.00%)。所有患儿均接受改良垂直褥式缝合术,术后患儿家属满意度较高。成功随访37例患儿,随访结果显示,患儿颌面部皮肤裂伤伤口愈合良好,皮肤瘢痕不明显,外观皮肤基本正常。结论 对于颌面部皮肤裂伤患儿,采用改良垂直褥式缝合法行急诊美容缝合有利于患儿的损伤恢复和面部美观。Objective To analyze the case data of children with maxillofacial skin lacerations and provide a reference for the diagnosis and treatment of maxillofacial skin lacerations in children.Methods The medical records of children with maxillofacial skin lacerations who underwent emergency cosmetic suturing at the Lingang Branch of Yibin Second People’s Hospital between March 2023 and March 2024 were retrospectively collected.The clinical characteristics,diagnosis,treatment,and follow-up of the children were analyzed and summarized.Results A total of 210 children with maxillofacial skin lacerations were included,of which 142 were boys,accounting for 67.62%.The age of the children was most common at 3 years old,accounting for 18.57%(39 cases).A total of 5 children had two lacerations,3 cases of which were in the same location and 2 cases were not in the same location.The most common site of skin laceration in children was the forehead,accounting for 46.23%(98 cases).The most common cause of maxillofacial skin lacerations was spontaneous falls,accounting for 51.43%(108 cases).The maxillofacial skin lacerations of the children were mainly minor injuries(168 cases,accounting for 80.00%).All children underwent modified vertical mattress suture,and the postoperative satisfaction of the children families was relatively high.Finally,37 children were successfully followed up,and the follow-up results showed that the wound healing of the maxillofacial skin lacerations were good,the skin scars were not obvious,and the appearance of the skins were basically normal.Conclusion For children with maxillofacial skin lacerations,using the modified vertical mattress suture for emergency cosmetic suturing is beneficial for their injury recovery and facial aesthetics.

关 键 词：急诊美容缝合 改良垂直褥式缝合术 儿童 颌面部皮肤裂伤 瘢痕 

分 类 号：R782.2[医药卫生—口腔医学]