负压封闭引流技术对较大体表肿物美容缝合切口愈合质量的影响  

Effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses

作　　者：练慧斌[1] 主父中印 徐刚[1] 周杰[1] 罗艺[1] 鞠海宾 殷志敏 LIAN Huibin;ZHUFU Zhongyin;XU Gang;ZHOU Jie;LUO Yi;JU Haibin;YIN Zhimin(Department of Burn and Plastic Surgery,Northern Jiangsu People’s Hospital,Yangzhou 225001,China)

机构地区：[1]苏北人民医院烧伤整形科,江苏扬州225001

出　　处：《临床外科杂志》2024年第12期1250-1253,共4页Journal of Clinical Surgery

基　　金：江苏省中医药科技发展计划项目(YB2020086);江苏省扬州市政策引导计划(YZ2022237)。

摘　　要：目的 观察负压封闭引流技术对较大体表肿物美容缝合切口愈合质量的影响。方法 2020年1月~2023年6月我院收治较大体表肿物病人60例,采用区组随机法分为研究组和对照组。对照组采用美容缝合技术缝合手术切口,研究组在美容缝合的基础上采用负压封闭引流技术。比较两组病人术后切口疼痛数字评价量表(NRS)评分、视觉模拟评分法(VAS)切口愈合满意度评分、温哥华瘢痕评分量表(VSS)评分、病人瘢痕评估量表(PSAS)评分等指标。结果 术后1周,研究组NRS评分为(2.15±0.46)分,对照组为(3.79±0.68)分,研究组疼痛较对照组减轻(P<0.05)。术后2周,研究组病人VAS评分为(1.57±0.63)分,小于对照组的(3.62±0.96)分(P<0.05),研究组切口更加平整,对切口满意度更高。术后6个月,研究组VSS评分为(2.31±1.13)分,对照组为(3.49±1.46)分,研究组PSAS评分为(7.68±1.65)分,小于对照组的(11.33±1.92)分(P<0.05),研究组切口瘢痕更轻,瘢痕情况更优。结论 在较大体表肿物美容缝合切口中使用负压封闭引流技术,能进一步改善切口愈合质量,减轻切口瘢痕,提高病人满意度。Objective To observe the effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses.Methods From January 2020 to June 2023,60 patients with large surface mass hospitalized in the Department of Burns and Plastic Surgery of Northern Jiangsu People’s Hospital were recruited as participants,and they were divided into study group and control group by block random method.Patients in the control group were treated with cosmetic suture technique to suture the surgical incision,while patients in the study group were treated with vacuum sealing drainage technique on the basis of cosmetic suture to further improve the quality of incision healing.The postoperative numerical rating scale(NRS)score,visual analogue scale(VAS)score,Vancouver Scar Scale(VSS)score,Patient Scar Assessment Scale(PSAS)score and other indicators were compared between the two groups.Results One week after surgery,the NRS score in the study group was(2.15±0.46)points,significantly lower than that in the control group(3.79±0.68)points,and the pain in the study group was less than that in the control group(P<0.05).Two week after surgery,the VAS score in the study group(1.57±0.63)points was also lower than that in the control group(3.62±0.96)points(P<0.05).The incision in the study group was smoother,and patients reported higher satisfaction with the incision compared to the control group.Six months post-operation,the VSS score in the study group(2.31±1.13)points was lower than that in the control group(3.49±1.46)points,while the PSAS score in the study group(7.68±1.65)points was significantly lower than that in the control group(11.33±1.92)points(P<0.05).In the study group,the incision scar was lighter and the scar condition was better.Conclusion The application of vacuum sealing drainage technology in the cosmetic suture incision for large body surface masses can further improve the quality of incision healing,reduce incision scar,and improve patient satisfaction.

关 键 词：体表肿物 美容缝合技术 负压封闭引流技术 疼痛 瘢痕 

分 类 号：R47[医药卫生—护理学]