美容缝合术在急诊皮肤软组织损伤中的应用效果
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摘要
目的探讨美容缝合术在急诊皮肤软组织损伤中的应用效果。方法选取2018年2～7月我院急诊收治的40例皮肤软组织损伤患者作为研究对象,按照随机数字表法分为两组,每组各20例。对照组患者采用常规清创缝合治疗,研究组患者采用美容缝合术治疗。比较两组患者的缝合效果、伤口愈合情况以及患者的总满意度。结果研究组患者的缝合总有效率为95.0%,高于对照组的80.0%(P<0.05);研究组患者的伤口愈合时间为(6.42±1.35)d,短于对照组的(7.68±1.84)d(P<0.05);研究组的不良反应总发生率为15.0%,低于对照组的40.0%(P<0.05);研究组的总满意度为90.0%,高于对照组的75.0%(P<0.05)。结论美容缝合术对皮肤软组织损伤患者缝合效果更佳,可以明显缩短患者的伤口愈合时间,降低不良反应发生率,更符合患者的审美需求,值得临床应用及推广。
Objective To study the application effect of cosmetic suturing in emergency skin soft tissue injury. Methods A total of 40 patients with skin soft tissue injury in emergency treated in our hospital from February to July in2018 were selected as the subjects, and divided into two groups by random number table method, with 20 cases in each group. The control group was treated with the conventional debridement and suturing methods, and the research group was treated with the cosmetic suturing methods. The suturing effect, wound healing conditions and patients′ total satisfaction were compared. Results The total effective rate in the study group(95.0%) was significantly higher than control group(80.0%)(P<0.05). The wound healing time in the research group was(6.42±1.35) d, which was significantly shorter than that in the control group([7.68 ±1.84] d)(P <0.05). The total adverse event rate in the research group(15.0%) was significantly lower than that in the control group(40.0%)(P<0.05). The patients′ total satisfaction in the research group(90.0%) was significantly higher than control group(75.0%)(P<0.05). Conclusion The cosmetic suturing can remarkably increase the suturing effect, shorten the wound healing time, reduce the adverse event rate and meet the patients′ aesthetic demands. It is worthy of clinical application and promotion.
Objective To study the application effect of cosmetic suturing in emergency skin soft tissue injury. Methods A total of 40 patients with skin soft tissue injury in emergency treated in our hospital from February to July in2018 were selected as the subjects, and divided into two groups by random number table method, with 20 cases in each group. The control group was treated with the conventional debridement and suturing methods, and the research group was treated with the cosmetic suturing methods. The suturing effect, wound healing conditions and patients′ total satisfaction were compared. Results The total effective rate in the study group(95.0%) was significantly higher than control group(80.0%)(P<0.05). The wound healing time in the research group was(6.42±1.35) d, which was significantly shorter than that in the control group([7.68 ±1.84] d)(P <0.05). The total adverse event rate in the research group(15.0%) was significantly lower than that in the control group(40.0%)(P<0.05). The patients′ total satisfaction in the research group(90.0%) was significantly higher than control group(75.0%)(P<0.05). Conclusion The cosmetic suturing can remarkably increase the suturing effect, shorten the wound healing time, reduce the adverse event rate and meet the patients′ aesthetic demands. It is worthy of clinical application and promotion.
引文
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[6]郭敏锋,王瑞.改良美容缝合术在颜面部皮肤软组织损伤急诊中的应用效果[J].临床医学研究与实践,2018,3(12):85-86,101.
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[9]李浩,张纲,郑维银,等.美容缝合技术在颌面部创伤中应用的疗效观察[J].国际口腔医学杂志,2013,40(2):169-171.
[10]厉兵,陈丹,童创建,等.急诊美容缝合术与普通急诊清创缝合术治疗面部外伤患者临床疗效的研究[J].现代实用医学,2016,28(9):1196-1197,封3.
[11]宋爱华,姚庆君,涂增烽,等.改进的美容缝合方法在创伤和整形手术中的应用[J].中国美容整形外科杂志,2016,27(2):89-91.
[12]Roccia F,Boffano P,Bianchi FA,et al.An 11-year review of dental injuries associated with maxillofacial fractures in Turin,Italy[J].Oral Maxillofac Surg,2013,17(4):269-274.
[13]察鹏飞,田甜,彭铮,等.环形缝合术在皮肤缺损修复中的应用[J].中国美容医学,2016,25(3):11-13.
[14]郑厚兵,王彪,黄循镭,等.应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面[J].中国美容医学,2015,24(1):15-17.
[15]李军.微创美容技术修复急诊面部皮肤软组织外伤的临床效果分析[J].中国医疗美容,2017,7(10):16-18.
[2]韩东亮,刘琳,生明娟,等.斧头状皮瓣联合美容缝合在面部皮肤缺损修复的临床应用[J].中国医疗美容,2017,7(11):27-30.
[3]雷晋,侯春胜,段鹏,等.改良皮肤软组织扩张术在头颅电击伤毁损性创面早期修复中的临床应用[J].中华烧伤杂志,2015,31(6):406-409.
[4]董子帅,王东海.面部软组织损伤的整形美容技术修复技巧[J].中国医疗美容,2017,7(12):37-39.
[5]Soni A,Narula R,Kumar A,et al.Comparing cyanoacrylate tissue adhesive and conventional subcuticular skin sutures for maxillofacial incisions-a prospective randomized trial considering closure time,wound morbidity,and cosmetic outcome[J].J Oral Maxillofac Surg,2013,71(12):e1-e8.
[6]郭敏锋,王瑞.改良美容缝合术在颜面部皮肤软组织损伤急诊中的应用效果[J].临床医学研究与实践,2018,3(12):85-86,101.
[7]Parara SM,Manios A,de Bree E,et al.Significant differences in skin irritation by common suture materials assessed by a comparative computerized objective method[J].Plast Reconstr Surg,2011,127(3):1191-1198.
[8]段宝学.改进的美容缝合方法在创伤和整形手术中的应用[J].中国美容医学,2016,25(11):43-45.
[9]李浩,张纲,郑维银,等.美容缝合技术在颌面部创伤中应用的疗效观察[J].国际口腔医学杂志,2013,40(2):169-171.
[10]厉兵,陈丹,童创建,等.急诊美容缝合术与普通急诊清创缝合术治疗面部外伤患者临床疗效的研究[J].现代实用医学,2016,28(9):1196-1197,封3.
[11]宋爱华,姚庆君,涂增烽,等.改进的美容缝合方法在创伤和整形手术中的应用[J].中国美容整形外科杂志,2016,27(2):89-91.
[12]Roccia F,Boffano P,Bianchi FA,et al.An 11-year review of dental injuries associated with maxillofacial fractures in Turin,Italy[J].Oral Maxillofac Surg,2013,17(4):269-274.
[13]察鹏飞,田甜,彭铮,等.环形缝合术在皮肤缺损修复中的应用[J].中国美容医学,2016,25(3):11-13.
[14]郑厚兵,王彪,黄循镭,等.应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面[J].中国美容医学,2015,24(1):15-17.
[15]李军.微创美容技术修复急诊面部皮肤软组织外伤的临床效果分析[J].中国医疗美容,2017,7(10):16-18.