醫(yī)用組織粘合劑聯(lián)合額肌瓣在患兒額部外傷美容縫合術(shù)中的應(yīng)用(1)
[摘要]目的：探討醫(yī)用組織粘合劑聯(lián)合額肌瓣減張縫合技術(shù)在患兒額部外傷美容縫合術(shù)中的應(yīng)用。方法：選取筆者科室114例額部外傷患兒，按隨機數(shù)字表法分為觀察組和對照組。觀察組61例采用醫(yī)用組織膠水聯(lián)合額肌瓣減張縫合技術(shù)；對照組53例皮膚表面采用7-0尼龍線間斷縫合。術(shù)后從切口縫合效果、切口愈合效果及切口回訪滿意率三個方面來評估臨床效果。結(jié)果：觀察組總有效率及滿意率分別為100.00%、85.25%明顯優(yōu)于對照組的86.79%、54.72%，差異有統(tǒng)計學意義(P<0.05)。兩組均未出現(xiàn)嚴重不良反應(yīng)，觀察組甲級愈合率為100.00%，對照組為90.57%，組間比較差異無統(tǒng)計學意義(P>0.05)。結(jié)論：醫(yī)用組織膠水聯(lián)合額肌瓣減張縫合技術(shù)用于兒童額部外傷美容縫合術(shù)中，術(shù)后效果良好，值得推廣。
[關(guān)鍵詞]額部外傷；額肌瓣；醫(yī)用組織粘合劑；美容縫合；兒童
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2018)11-0113-03
, 百拇醫(yī)藥
Abstract： 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.
, 百拇醫(yī)藥
Key words： forehead trauma； frontal muscle flap； medical tissue adhesive； cosmetic suture； children
兒童由于其運動能力強，自我保護意識弱，常常不能預估危險致額部軟組織不同程度的損傷。傷口位于顏面部，一旦處理不當留有明顯的皮膚瘢痕將嚴重影響患兒容貌及心理發(fā)育。隨著整形美容縫合技術(shù)的進步，在充分消滅死腔、皮緣對齊縫合的基礎(chǔ)上，需最大限度地改善傷口外觀及瘢痕情況。在額部，傷口深達骨面時，隨著患兒生長發(fā)育，頭顱長大，術(shù)后容易形成凹陷性瘢痕。對此，為進一步提高術(shù)后美容治療效果，需采取改進的縫合修復方法。筆者科室將醫(yī)用組織膠水聯(lián)合額肌瓣減張縫合技術(shù)應(yīng)用于兒童額部外傷美容縫合術(shù)中，發(fā)現(xiàn)縫合術(shù)后效果良好，值得推廣。
1 資料和方法
1.1 一般資料：選取筆者科室2015年9月-2017年9月治療的小兒額部外傷患兒共114例作為研究對象。致傷原因：摔傷、銳器傷等；傷口均為皮膚全層裂傷，最長7.2cm，最短1.0cm；患兒均對醫(yī)用組織膠水及縫合線無過敏反應(yīng)。排除標準：傷口嚴重污染以及人畜咬傷。將是否使用醫(yī)用組織膠水進行分組，其中觀察組61例，年齡2～11歲，平均4.78歲。對照組53例，年齡2～11歲，平均5.42歲。兩組患兒在年齡、性別等方面比較，差異無統(tǒng)計學意義(P>0.05)。
1.2 材料：醫(yī)用組織粘合劑(α-氰基丙烯酸正丁酯，廣東龍心醫(yī)療器械有限公司)；6-0可吸收外科縫合線(PGA RESORBA，通用醫(yī)療)；7-0尼龍外科縫線(7-0非可吸收尼龍外科縫線，ETHICON)。, http://www.www.srpcoatings.com(張博 鄒勃生 尹軒羽)
[關(guān)鍵詞]額部外傷；額肌瓣；醫(yī)用組織粘合劑；美容縫合；兒童
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2018)11-0113-03
, 百拇醫(yī)藥
Abstract： 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.
, 百拇醫(yī)藥
Key words： forehead trauma； frontal muscle flap； medical tissue adhesive； cosmetic suture； children
兒童由于其運動能力強，自我保護意識弱，常常不能預估危險致額部軟組織不同程度的損傷。傷口位于顏面部，一旦處理不當留有明顯的皮膚瘢痕將嚴重影響患兒容貌及心理發(fā)育。隨著整形美容縫合技術(shù)的進步，在充分消滅死腔、皮緣對齊縫合的基礎(chǔ)上，需最大限度地改善傷口外觀及瘢痕情況。在額部，傷口深達骨面時，隨著患兒生長發(fā)育，頭顱長大，術(shù)后容易形成凹陷性瘢痕。對此，為進一步提高術(shù)后美容治療效果，需采取改進的縫合修復方法。筆者科室將醫(yī)用組織膠水聯(lián)合額肌瓣減張縫合技術(shù)應(yīng)用于兒童額部外傷美容縫合術(shù)中，發(fā)現(xiàn)縫合術(shù)后效果良好，值得推廣。
1 資料和方法
1.1 一般資料：選取筆者科室2015年9月-2017年9月治療的小兒額部外傷患兒共114例作為研究對象。致傷原因：摔傷、銳器傷等；傷口均為皮膚全層裂傷，最長7.2cm，最短1.0cm；患兒均對醫(yī)用組織膠水及縫合線無過敏反應(yīng)。排除標準：傷口嚴重污染以及人畜咬傷。將是否使用醫(yī)用組織膠水進行分組，其中觀察組61例，年齡2～11歲，平均4.78歲。對照組53例，年齡2～11歲，平均5.42歲。兩組患兒在年齡、性別等方面比較，差異無統(tǒng)計學意義(P>0.05)。
1.2 材料：醫(yī)用組織粘合劑(α-氰基丙烯酸正丁酯，廣東龍心醫(yī)療器械有限公司)；6-0可吸收外科縫合線(PGA RESORBA，通用醫(yī)療)；7-0尼龍外科縫線(7-0非可吸收尼龍外科縫線，ETHICON)。, http://www.www.srpcoatings.com(張博 鄒勃生 尹軒羽)
參見：100md首頁 > 保健版 > 美容瘦身 > 美容常識