摘要
目的探讨整形精细缝合技术治疗儿童面部外伤对瘢痕形成的影响。方法随访新疆医科大学第一附属医院整形外科2022年4月-7月收治的儿童面部外伤患者共121例;其中63例为试验组,58例为对照组,试验组为整形外科同一术者采用整形精细无张力缝合法,对照组采用急诊清创缝合法。收集患者的临床资料,统计患者基线资料、创伤类型、伤口长度及深度、就诊时间、瘢痕外观和患者满意度。结果共纳入121例患者,年龄1.5岁-18岁,平均年龄为3.97±3.04岁。创伤类型为挫伤81例(66.94%)、利器伤40例(33.06%)。最常见的损伤部位为额部(33.88%)、颏部(28.93%)。术后对两组进行满意度及瘢痕评分,试验组总满意度高于对照组、VSS评分低于对照组(P<0.05)。结论整形精细缝合技术可降低儿童外伤后瘢痕的形成,其美观程度高于其他缝合技术,值得在面部外伤治疗中推广。
Objective To investigate the effect of plastic fine suture method on scar formation in the treatment of facial trauma in children.Methods A total of 121 childrenwith facial trauma admittedat the department of plastic surgery of the first affiliated hospital of Xinjiang Medical University from April to July 2022 were followed up.63 of them were divided into experimental group and 58 cases were divided into control group,and the same operatorwas assigned and plastic fine tension-free sutures method was used in the experimental group,while the control group were treated with emergency debridement sutures method.Clinical data of patients were collected,and baseline data,trauma type,wound length and depth,visit time,scar appearance and patient satisfaction were analyzed.Results A total of 121 patients were collected into this study,whose ages werefrom 1.5 to 18 years old,with a mean age of 3.97±3.04 years old.There were 81 cases who werediagnosed with contusions accounting for 66.94%and 40 cases were sharps injuries accounting for 33.06%.The most common injury sites were frontal(33.88%)and chin(28.93%).After operation,satisfactorydegree and scar scores were investigated in both groups,and the total satisfactory degree in test group was higher than that incontrol group and the VSS was lower than that in the control group(P<0.05).Conclusion The plastic fine suture technique can reduce the formation of scar after trauma in children,and its aesthetic degree is higher than other suture techniques,which is worth promoting in the treatment of facial trauma.
作者
迟宏羽
马娟
董祥林
CHI Hongyu;Ma Juan;DONG Xianglin(Department of plastic Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)
出处
《新疆医学》
2023年第1期1-4,共4页
Xinjiang Medical Journal
基金
新疆维吾尔自治区自然科学基金(项目编号:2019D01C308)。
关键词
面部外伤
减张缝合
瘢痕
Facial trauma
plastic and cosmetic suturing
scar
