| 黄涛,党袁涛,吴宇佼,等.不同缝线缝合对急诊面部浅表伤口愈合及美学效果的影响[J].安徽医药,2026,30(3):576-579. |
| 不同缝线缝合对急诊面部浅表伤口愈合及美学效果的影响 |
| Impact of different sutures materials on healing and aesthetic outcomes of superficial facial wounds in the emergency setting |
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| DOI：10.3969/j.issn.1009-6469.2026.03.029 |
| 中文关键词: 缝线 面部 伤口愈合 伤口缝合技术 线结反应 并发症 美学效果 |
| 英文关键词: Sutures Face Wound healing Wound closure techniques Suture reaction Complications Aesthetic outcome |
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| 中文摘要: |
| 目的比较不同缝线缝合对急诊面部浅表伤口愈合及美学效果的影响。方法选择 2019年 1月至 2022年 12月中国人民解放军空军军医大学第一附属医院收治的 180例急诊面部浅表伤口病人，将其采用随机数字表法划分为慕丝线组( n=90)与可吸收线组( n=90)。病人给予标准外科清创术后两组采用不同缝合线均行间断外缝合法。术后第 1周至 6个月，比较两组的线结反应、伤口愈合时间、伤口愈合等级、伤口并发症及病人或其家属美学满意度。结果可吸收线组线结反应发生率［18.89%(17/90)比 40.00%(36/90)］、伤口并发症发生率［13.33%(12/90)比 38.89%(35/90)］明显低于慕丝线组( P<0.05)；两组伤口愈合时间、伤口愈合等级比较差异无统计学意义( P>0.05)；可吸收线组病人或其家属美学满意度明显高于慕丝线组［88.89%(80/90)比 77.78%(70/90)，P<0.05］。结论可吸收线缝合相比于慕丝线缝合对急诊面部浅表伤口的线结反应更小、并发症更少，美学效果更佳。 |
| 英文摘要: |
| Objective To compare the effects of different sutures materials on the healing and aesthetic outcomes of superficial facialwounds treated in the emergency department.Methods A total of 180 patients with superficial facial wounds admitted to The First Af.filiated Hospital of PLA Air Force Medical University from January 2019 to December 2022 were enrolled and randomly assigned via arandom number table to a silk suture group (n=90) and an absorbable suture group (n=90). Following standard surgical debridement,both groups underwent interrupted percutaneous suture with their respective suture materials. From postoperative week 1 to month 6,suture knot reactions, wound healing time, wound healing grade, complications, and aesthetic satisfaction reported by patients or theirfamilies were compared between the two groups. Results The incidence of knot reaction [18.89% (17/90) vs. 40.00% (36/90)] and wound complication rate [13.33% (12/90) vs. 38.89% (35/90)] were significantly lower in the absorbable suture group than in the silk suture group (P<0.05). No statistically significant differences were found in wound healing time or wound healing grade between the two groups (P>0.05). Aesthetic satisfaction was significantly higher in the absorbable suture group [88.89% (80/90) vs. 77.78% (70/90), P< 0.05].Conclusion Compared with silk suture, absorbable suture are associated with less knot reaction, fewer complications, and bet.ter aesthetic outcomes for superficial facial wounds repaired in the emergency setting. |
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