美容缝合与清创缝合在面部外伤患者中的临床效果比较研究  

Comparative Study on the Clinical Efficacy of Aesthetic Suturing vs.Traditional Suturing in Facial Trauma Patients

作　　者：李晓霞[1] 杨芬[2] LI Xiaoxia;YANG Fen(Bayannur Hospital Skin Beauty Department,Bayannur 015000,China;Bayannur Hospital Burn and Plastic Surgery Department,Bayannur 015000,China)

机构地区：[1]巴彦淖尔市医院皮肤美容科,内蒙古巴彦淖尔015000 [2]巴彦淖尔市医院烧伤整形科,内蒙古巴彦淖尔015000

出　　处：《中华灾害救援医学》2025年第2期184-187,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨在面部外伤患者中,美容缝合技术与清创缝合技术的临床效果,并比较两者在创口愈合、瘢痕修复、术后疼痛、炎症反应等方面的差异。方法回顾性分析2023年1月到2024年12月来巴彦淖尔市医院急诊科就诊的50例面部外伤患者的临床资料。根据急诊缝合技术的不同,分为美容缝合组(25例)和清创缝合组(25例)。比较两组研究对象的临床疗效、围手术期相关指标、疼痛程度、炎症因子水平、瘢痕恢复情况以及并发症发生情况。结果美容缝合组研究对象的临床总有效率明显高于清创缝合组(P>0.05)。与清创缝合组患者相比,美容缝合组患者水肿持续时间、切口愈合时间明显更短,瘢痕宽度更窄,但治疗费用明显更高,差异具有统计学意义(P<0.001)。术后,两组患者VAS评分呈降低趋势(P<0.001);且与清创缝合组患者相比,美容缝合组患者术后3d、术后7d的VAS评分明显更低(P<0.001)。术后3d,两组患者炎症因子肿瘤坏死因子-α(Tumor Necrosis Factorα,TNF-α)、白介素-1(Interleukin-1,IL-1)、白介素-6(Interleukin-6,IL-6)水平无均明显降低(P<0.001);且与清创缝合组相比,美容缝合组术后3d TNF-α、IL-6、IL-1水平明显更低(P<0.001)。与清创缝合组相比,美容缝合组术后3个月,瘢痕情况POSAS评分和VSS评分明显更低(P<0.001)。美容缝合组并发症总发生率明显低于清创缝合组(P<0.05)。结论在面部外伤患者急诊处理中,相较于清创缝合技术,美容缝合技术更有利于促进创口愈合,缩短瘢痕宽度,降低术后疼痛程度和炎症反应,临床疗效明显。Objective To investigate the clinical efficacy of cosmetic suturing techniques compared to debridement suturing techniques in patients with facial trauma,and to compare the differences between the two methods in terms of wound healing,scar reconstruction,postoperative pain,and inflammatory response.Methods A retrospective analysis was conducted on the clinical data of 50 patients with facial trauma who presented to the emergency department of Bayannur City Hospital from January 2023 to December 2024.Based on the suturing technique utilized,patients were divided into the cosmetic suturing group(25 cases)and the debridement suturing group(25 cases).Clinical efficacy,perioperative indicators,pain levels,inflammatory cytokine levels,scar recovery,and the occurrence of complications were compared between the two groups.Results The overall clinical efficacy rate in the cosmetic suturing group was significantly higher than that of the debridement suturing group(P>0.05).Patients in the cosmetic suturing group exhibited a significantly shorter duration of edema and incision healing time,as well as narrower scar width compared to those in the debridement group,although treatment costs were notably higher(P<0.001).Postoperatively,visual analog scale(VAS)scores for both groups showed a decreasing trend(P<0.001);however,the VAS scores at 3 days and 7 days post-surgery were significantly lower in the cosmetic suturing group compared to the debridement group(P<0.001).At 3 days post-surgery,levels of inflammatory cytokines including tumor necrosis factor-α(TNF-α),interleukin-1(IL-1),and interleukin-6(IL-6)were significantly reduced in both groups(P<0.001);furthermore,the TNF-α,IL-6,and IL-1 levels were significantly lower in the cosmetic suturing group compared to the debridement group at the same time point(P<0.001).Three months post-surgery,scar assessment scores using the Patient and Observer Scar Assessment Scale(POSAS)and the Vancouver Scar Scale(VSS)were significantly lower in the cosmetic suturing group compared to the

关 键 词：美容缝合 清创缝合 面部损伤 

分 类 号：R622[医药卫生—整形外科]