医用组织粘合剂联合额肌瓣在患儿额部外伤美容缝合术中的应用
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摘要
目的:探讨医用组织粘合剂联合额肌瓣减张缝合技术在患儿额部外伤美容缝合术中的应用。方法:选取笔者科室114例额部外伤患儿,按随机数字表法分为观察组和对照组。观察组61例采用医用组织胶水联合额肌瓣减张缝合技术;对照组53例皮肤表面采用7-0尼龙线间断缝合。术后从切口缝合效果、切口愈合效果及切口回访满意率三个方面来评估临床效果。结果:观察组总有效率及满意率分别为100.00%、85.25%明显优于对照组的86.79%、54.72%,差异有统计学意义(P<0.05)。两组均未出现严重不良反应,观察组甲级愈合率为100.00%,对照组为90.57%,组间比较差异无统计学意义(P>0.05)。结论:医用组织胶水联合额肌瓣减张缝合技术用于儿童额部外伤美容缝合术中,术后效果良好,值得推广。
Objective To investigate the application of medical tissue adhesives combined with frontal muscle flap suturing and suturing technique in children's frontal trauma cosmetic suture. Methods 114 children with frontal injury were divided into two groups(the observation group and the control group) according to the random number table method. In the observation group, 61 patients were treated with a combination of medical tissue glue combined with frontal muscle flap reduction and suture. 53 patients in the control group were treated with 7-0 nylon thread suture. Postoperative clinical efficacy evaluation was mainly evaluated from three aspects, incision suture effect, incision healing effect and satisfaction rate. Results The total effective rate and satisfaction rate of observation group were 100.00% and 85.25% respectively, which were significantly better than those of control group(86.79%, 54.72%), the differences were statistically significant(P<0.05). No serious adverse reactions were observed in the two groups. The rate of grade a healing was 100.00% in the observation group and that in the control group was 90.57%, there was no significant difference between the two groups(P>0.05). Conclusion The medical tissue glue combined with frontal muscle flap tension-reduced suture technique is suitable for children's frontal trauma cosmetic suture.
Objective To investigate the application of medical tissue adhesives combined with frontal muscle flap suturing and suturing technique in children's frontal trauma cosmetic suture. Methods 114 children with frontal injury were divided into two groups(the observation group and the control group) according to the random number table method. In the observation group, 61 patients were treated with a combination of medical tissue glue combined with frontal muscle flap reduction and suture. 53 patients in the control group were treated with 7-0 nylon thread suture. Postoperative clinical efficacy evaluation was mainly evaluated from three aspects, incision suture effect, incision healing effect and satisfaction rate. Results The total effective rate and satisfaction rate of observation group were 100.00% and 85.25% respectively, which were significantly better than those of control group(86.79%, 54.72%), the differences were statistically significant(P<0.05). No serious adverse reactions were observed in the two groups. The rate of grade a healing was 100.00% in the observation group and that in the control group was 90.57%, there was no significant difference between the two groups(P>0.05). Conclusion The medical tissue glue combined with frontal muscle flap tension-reduced suture technique is suitable for children's frontal trauma cosmetic suture.
引文
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[2]孟祥慧,王晶,周杰,等.美容技术和原则在面部创伤早期修复中的应用[J].中国美容医学,2014,23(8):618-620.
[3]Zhang X,Diao J,Guo S,et al.Wedge-shaped excision and modified vertical mattress suture fully buried in a multilayered and tensioned wound closure[J].Aesthetic Plast Surg,2009,33(3):457-460.
[4]Meng Fanjun,Andrea Sisti,Cheng Shenling,et al.Modified subcutaneous buried horizontal mattress suture compared with vertical buried mattress suture[J].Ann Plast Surg,2017,79(2):197-202.
[5]蔡景龙.对瘢痕形成与防治的认识[J].中华损伤与修复杂志(电子版),2010,5(5):573-577.
[6]De Jonge SW,Atema JJ,Solomkin JS,et al.Meta-analysis and trial sequential analysis of triclosan-coated sutures for the prevention of surgical-site infection[J].Br J Surg,2017,104(2):e118-e133.
[7]Allegranzi B,Zayed B,Bischoff P,et al.New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention:an evidence-based global perspective[J].Lancet Infect Dis,2016,16(12):e288-e303.
[8]郎中亮,王明刚,钟晓红.抗菌可吸收缝线缝合儿童面部裂伤的美容效果观察[J].中国美容医学,2017,26(11):26-29.
[9]Brewin MP,Lister TS.Prevention or treatment of hypertrophic bum scarring:a; review of when and how to treat with the pulsed dye laser[J].Bruns,2014,40(5):797-804.
[10]董依云,陶岚,周国瑜,等.脉冲染料激光抑制颌面部外伤早期瘢痕的效果评价[J].上海口腔医学,2018,27(2):200-203.
[11]夏照帆,吕开阳.中国临床瘢痕防治专家共识[J].中华损伤与修复杂志(电子版),2017,12(6):401-408.
[12]谭军.激光皮肤再生美容[M].长沙:湖南科技出版社,2014:146.
[13]谭军.对JAMA瘢痕激光治疗共识的评述[J].中国美容整形外科杂志,2016,27(7):388-391.