摘要
目的探讨急诊外科处置颜面部皮肤裂伤的治疗经验，总结采用医用胶对伤口清创粘合处置的临床应用价值。方法将自2011年6月至2012年1月海军总医院急诊外科救诊的208例颜面部皮肤裂伤患者随机分成两组。医用胶组为106例应用医用胶清创粘合伤121；缝合组为102例常规的清创缝合伤口。对手术时间、疼痛指数及伤口愈合外观满意指数进行比较。结果医用胶组手术时间较缝合组明显缩短（经X^2检验，P〈0．001）；医用胶组疼痛指数为（4．24±0．96），缝合组疼痛指数为（7．08±1．12）；医用胶组术后伤口愈合满意度：优良为66．03％，满意为31．13％，不满意为2．83％，缝合组术后伤口愈合满意度：优良为11．77％，满意为56．86％，不满意为31．37％，患者对清创粘合术后的伤口愈合满意指数明显高于传统的清创缝合术（经X^2检验，P〈0．05）。结论采用医用胶清创粘合伤口操作简便，缩短了手术时间，无需拆线，减轻了患者的痛苦和烦恼，也减少患者就诊次数。避免了皮肤裂伤因清创缝合产生的针线反应红斑、硬结及瘢痕增生，达到了外伤美容修复，特别深受儿童和女性患者的欢迎，清创粘合术在急诊外科处置颜面部皮肤裂伤时易于推广使用。
Objective To explore the advantages of tissue adhesive in wound debridement and closure based on the cases analyzed in emergency surgical treatment of facial skin lacerations. Methods 208 cases of facial skin laceration collected in between June 2011 and January 2012 were randomly divided into two groups, the tissue adhesive （TA） group with 106 cases and routine suturing （RS） group with 102 cases. The operation duration, the pain and healing satisfaction index were documented. Results The operation duration in TA group was markedly decreased compared with the RS group （P〈 0.001）; the pain index in the TA group was lower than the RS group （4.24±0.96 vs 7.08±1.12）; the wound healing satisfaction index in the TA group （excellent 66.03%, adequate 31.13%, unacceptable 2.83%） was significantly better than in the RS group （excellent 11.77%, adequate 56.86%, unacceptable 31.37%）, （P〈0.05）. Conclusion The application of tissue adhesive in wound debridement and adhesion decreases the operation duration, avoids removal of suture, and decreases the annoyance and visit times. Furthermore, tissue adhesive avoids the sear formation, reaching esthetic recovery. Therefore, the application of debridement and adhesion in treating facial skin laceration in emergency surgical department is highly recommended.
出处
《中国急救复苏与灾害医学杂志》
2013年第4期317-319,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
急诊外科
颜面部
皮肤裂伤
医用胶
清创粘合
Emergency surgical department
Face
Skin laceration
Tissue adhesive
Debridement andadhesion
