CAJ | 학술논문

背景：胶原蛋白线由动物的胶原蛋白制备而成，由于其具备可降解、无排异、易于制备、使用方便等优点，现在已开始大量使用于临床。 　　目的：比较胶原蛋白线与丝线编织线对口腔种植手术切口愈合的影响。 　　方法：100例种植手术患者随机等分为可吸收胶原蛋白线组和丝线编织非吸收性缝线组，分别使用2-0带圆针可吸收胶原蛋白缝合线与4-0带圆针丝线编织非吸收性缝线对伤口进行间断无张力缝合。植入后3，5，7 d观察缝线及伤口愈合情况，植入后第7天拆线，植入后14 d复诊。 　　结果与结论：可吸收胶原蛋白线组患者切口甲级愈合率明显多于丝线编织非吸收性缝线组(P<0.05)。可吸收胶原蛋白线组患者口腔切口中的2-0带圆针可吸收胶原蛋白缝合线在治疗7d时大多数被吸收，而丝线编织非吸收线组患者口腔切口中4-0带圆针丝线编织非吸收性缝线未见吸收。且使用2-0可吸收胶原蛋白线的患者口内缝线未见污物附着，线体清洁。而使用4-0丝线编织非吸收线缝合的患者口内可见线体周围有软垢附着。提示胶原蛋白线比丝线编织线更适合口腔种植手术切口的无张力缝合，能够获得更好的愈合效果，且时间能够与伤口愈合时间匹配，并能维持更好的口腔卫生。
배경：효원단백선유동물적효원단백제비이성，유우기구비가강해、무배이、역우제비、사용방편등우점，현재이개시대량사용우림상。 　　목적：비교효원단백선여사선편직선대구강충식수술절구유합적영향。 　　방법：100례충식수술환자수궤등분위가흡수효원단백선조화사선편직비흡수성봉선조，분별사용2-0대원침가흡수효원단백봉합선여4-0대원침사선편직비흡수성봉선대상구진행간단무장력봉합。식입후3，5，7 d관찰봉선급상구유합정황，식입후제7천탁선，식입후14 d복진。 　　결과여결론：가흡수효원단백선조환자절구갑급유합솔명현다우사선편직비흡수성봉선조(P<0.05)。가흡수효원단백선조환자구강절구중적2-0대원침가흡수효원단백봉합선재치료7d시대다수피흡수，이사선편직비흡수선조환자구강절구중4-0대원침사선편직비흡수성봉선미견흡수。차사용2-0가흡수효원단백선적환자구내봉선미견오물부착，선체청길。이사용4-0사선편직비흡수선봉합적환자구내가견선체주위유연구부착。제시효원단백선비사선편직선경괄합구강충식수술절구적무장력봉합，능구획득경호적유합효과，차시간능구여상구유합시간필배，병능유지경호적구강위생。
BACKGROUND:Col agen suture is made of col agen from animals, and has been widely used because it is absorbable, non-rejection and easy to produce, and convenient in use. OBJECTIVE:To evaluate the effects of col agen suture and silk suture in wound healing after oral implant surgery. METHODS:100 patients undergoing oral implantation were randomly assigned into col agen suture group and silk suture group. A 2-0 circular needle with absorbable col agen sutures and a 4-0 circular needle with non-absorbable silk sutures were employed for tension-free suture in the two groups. After 3, 5, 7 days of oral implantation, suture threads and wound healing were observed. The suture was removed at 14 days, and patients were reviewed at 14 days. RESULTS AND CONCLUSION:The wound healing was better in the col agen suture group than the silk suture group at grade I (P<0.05). At 7 days postoperatively, the suture thread was mostly absorbed in the col agen group but not in the silk suture group. In addition, material alba was invisible in the col agen suture group but clear in the silk suture group. These results indicate that the col agen suture is more proper for tension-free suture than the silk suture, which is better matched to the healing time and keeps a better oral environment.