摘要
目的对比分析改良真皮内缝合法和传统缝合法在整形美容外科患者中应用的临床效果。方法选取2013年5月至2015年1月整形美容外科患者96例，将所有患者随机分为观察组和对照组两组，每组48例，观察组予以改良真皮内缝合，对照组予以传统缝合，比较两组缝合后临床效果、术后并发症、住院时间、Ⅰ期愈合、瘢痕宽度、满意度以及术后恢复情况。结果观察组显效率和总有效率高于对照组，术后感染率和皮肤损伤率低于对照组，住院时间短于对照组，Ⅰ期愈合率高于对照组，术后瘢痕宽度小于对照组，非常满意率和总满意率均高于对照组，差异均有统计学意义（P〈0．05）；观察组术后6～9d内均呈线状瘢痕，瘢痕宽度〈1mm，对48例患者出院后3个月进行随访，取得联系患者47例，随访率97．9％，参与随访患者全部呈线状瘢痕且缝合部位与临近皮肤肤色较接近，其中有38例（79．2％）瘢痕宽度〈0．3mm，7例（14．6％）瘢痕宽度0．3—0．5mm，2例（4．2％）瘢痕宽度0．6—1．0mm，平均宽度约0．21mm，均优于对照组。结论改良真皮内缝合法应用于整形美容外科临床效果较好，愈合快，降低瘢痕生成率，推荐临床广泛应用。
Objective To compare and analyze the effect of improved dertnis intradermic suture and traditional suture in plastic and aesthetic surgery. Methods Ninety-six patients in department of plastic and aesthetic surgery from May 2013 to January 2015 were randomly divided into observation group and control group, with 48 cases in each group. The observation group received improved dertnis intrad- ermic suture, and the control group received traditional suture. The index of clinical results, postoperative complications, length of stay, I stage healing, scar width, satisfaction and postoperative recovery after treatment were compared between the two groups. Results The efficiency rate and total efficiency rate of the observation group were higher, the rates of infection and skin damage after surgery were lower, the length of stay was shorter, stage I healing rate was higher, the width of the scar after surgery was less, very high satisfaction rate and total satisfaction rate were higher than those in the control group, all of the differences were significant（ P 〈0.05 ）. Observation group on 6 to 9 days after surgery shown a linear scar, scar width less than 1 ram. Forty-eight patients discharged from hospital were conducted three months follow-up, 1 missed and the follow-up rate of other 47 cases was 97.9%, all patients participation in follow-up showed a linear scar, and suture the site and adjacent skin complexion relatively close, in which 38 patients （79.2%） with scar width less than 0. 3 mm, 7 patients （ 14. 6% ） in the community scar width 0. 3 to 0. 5 mm, 2 patients （4.2%） with scar width of the border in 0. 6 to 1.0 mm, the average width of about 0. 21 mm, which were better than that in the control group. Conclusions The combined improved leather interior stitching has the good effect in the plastic and aesthetic surgery with heal faster and lower scar formation rate, is recommend widespread clinical application.
出处
《中国实用医刊》
2016年第20期44-46,共3页
Chinese Journal of Practical Medicine
关键词
改良真皮内缝合
传统缝合
整形美容外科
Improved dertnis intradermic suture
Traditional suture
Plastic and aesthetic surgery
