美容缝合技术在体表肿物切除手术中的临床应用

练慧斌; 徐刚; 李平松; 周杰; 罗艺; 主父中印; 金俊俊; 焦瑞; 张筱薇; 韩辉

doi:10.7619/jcmp.20223848

美容缝合技术在体表肿物切除手术中的临床应用

江苏省苏北人民医院烧伤整形科, 江苏扬州, 225001

基金项目:

江苏省扬州市政策引导计划 YZ2022237

详细信息

通讯作者:
周杰, E-mail: zhoujie3124@126.com

中图分类号: R61;R826.5
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- 文章访问数: 165
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- PDF下载量: 16
出版历程
- 收稿日期: 2022-12-26
- 修回日期: 2023-01-22
- 网络出版日期: 2023-07-18

Clinical application of cosmetic suture technique in excision of body surface mass

Department of Burn and Plastic Surgery, Northern Jiangsu People's Hospial of Jiangsu Province, Yangzhou, Jiangsu, 225001

摘要

摘要:
目的
观察美容缝合技术在体表肿物切除手术中的临床应用效果。
方法
选取烧伤整形科收治的158例体表肿物患者作为治疗组，选取同期普通外科收治的体表肿物传统手术治疗者149例作为对照组。治疗组患者体表肿物切除手术中均应用美容缝合技术。术后2周及6个月后进行随访，比较2组患者手术切口愈合情况。采用视觉模拟评分法(VAS)评估2组患者手术治疗满意度; 采用温哥华瘢痕评分量表(VSS)评估2组术后瘢痕情况，比较2组瘢痕宽度。
结果
术后2周，治疗组切口甲级愈合率为96.8%(153/158), 高于对照组的91.3%(136/149), 差异有统计学意义(P < 0.05)。术后6个月，治疗组VSS评分、VAS评分低于观察组，差异有统计学意义(P < 0.01)。治疗组患者瘢痕平均宽度为(1.72±0.86) mm, 小于对照组的(4.55±2.38) mm, 差异有统计学意义(P < 0.01)。
结论
美容缝合技术应用于体表肿物切除手术可显著减轻组织损伤和切口瘢痕，改善患者术区外形，并提高患者的手术满意度。
- 美容缝合技术 /
- 心形缝合 /
- 体表肿物 /
- 瘢痕 /
- 温哥华瘢痕评分量表 /
- 视觉模拟评分法
Abstract:
Objective
To observe the clinical effect of cosmetic suture in excision of body surface mass.
Methods
A total of 158 patients with body surface masses admitted to the department of burn and plastic surgery were selected as the treatment group, and 149 patients with traditional surgical treatment of body surface masses admitted to the department of general surgery during the same period were selected as the control group. Cosmetic suture technique was used in the resection of body surface masses in the treatment group. Follow-up was conducted two weeks and 6 months after surgery to compare the healing of surgical incision between the two groups. Visual Analogue Scale (VAS) was used to evaluate the satisfaction of surgical treatment in the two groups. The postoperative scar status of the two groups was evaluated by the Vancouver Scar Scale (VSS), and the scar width of the two groups was compared.
Results
The grade A wound healing rate of the treatment group was 96.8%(153/158), which was significantly higher than 91.3%(136/149) of the control group (P < 0.05). Six months after surgery, the VSS score and VAS score of the treatment group were significantly lower than those of the observation group (P < 0.01). The mean scar width in the treatment group was (1.72±0.86) mm, which was significantly lower than (4.55±2.38) mm in the control group (P < 0.01).
Conclusion
The application of aesthetic suture technique in the resection of body surface masses can significantly reduce tissue injury and incision scar, improve the appearance of the operative area, and improve the satisfaction of the patients.
- cosmetic suture technique /
- heart-shaped suture /
- body surface mass /
- scar /
- Vancouver Scar Scale /
- Visual Analogue Scale

HTML全文

图 1 美容缝合技术示意图

术中精准解剖对位，逐层减张缝合，皮下缝合呈心形，箭头方向为进针方向。

下载: 全尺寸图片幻灯片

图 2 美容缝合技术效果图

下载: 全尺寸图片幻灯片

图 3 患者发现左上唇皮肤肿物2月余

下载: 全尺寸图片幻灯片

图 4 术后10 d患者切口愈合良好，瘢痕不明显

下载: 全尺寸图片幻灯片

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施引文献(6)

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5.	李美辰，崔斌，林贵军，郭辉. 多模态虚拟重建对面神经显微血管减压术的术前指导价值. 医学研究杂志. 2018(10): 114-117+106 . 百度学术