CAJ | 학술논문

目的：比较钉合与缝合技术应用于骨科肩肘部位手术切口中的疗效观察，探讨1次性皮肤缝合器在骨科骨科肩肘部位皮肤切口中的应用价值。方法：选择150例骨科肩肘部位手术病人，随机分为2组，治疗组77例，术中采用1次性皮肤缝合器缝合切口，对照组73例采用常规丝线缝合切口。分别对2种缝合方法在切口感染、切口裂开、炎性反应（红肿）、分泌物、坏死、过敏反应、术后3个月切口“蜈蚣症”的发生率，缝合速度，拆线（钉）时的疼痛程度，9项指标进行统计学分析。结果：2组在缝合速度，拆线（钉）时的疼痛程度，术后3个月切口“蜈蚣症”的发生率方面差异显著（P＜0．01），治疗组在拆钉时比对照组拆钉时有较高的疼痛程度；但有更快的缝合速度；术后3个月随访，切口瘢痕“蜈蚣症”的发生率为0％，对照组为35．61％；2组在切口感染、切口裂开、炎性反应（红肿）、分泌物、坏死、过敏反应方面无显著差异。结论：钉合技术（1次性皮肤缝合器）相对于缝合技术（常规丝线）在缝合骨科肩肘部位皮肤切口有更快的缝合速度及更好的美容效果，有较大的应用价值。
목적：비교정합여봉합기술응용우골과견주부위수술절구중적료효관찰，탐토1차성피부봉합기재골과골과견주부위피부절구중적응용개치。방법：선택150례골과견주부위수술병인，수궤분위2조，치료조77례，술중채용1차성피부봉합기봉합절구，대조조73례채용상규사선봉합절구。분별대2충봉합방법재절구감염、절구렬개、염성반응（홍종）、분비물、배사、과민반응、술후3개월절구“오공증”적발생솔，봉합속도，탁선（정）시적동통정도，9항지표진행통계학분석。결과：2조재봉합속도，탁선（정）시적동통정도，술후3개월절구“오공증”적발생솔방면차이현저（P＜0．01），치료조재탁정시비대조조탁정시유교고적동통정도；단유경쾌적봉합속도；술후3개월수방，절구반흔“오공증”적발생솔위0％，대조조위35．61％；2조재절구감염、절구렬개、염성반응（홍종）、분비물、배사、과민반응방면무현저차이。결론：정합기술（1차성피부봉합기）상대우봉합기술（상규사선）재봉합골과견주부위피부절구유경쾌적봉합속도급경호적미용효과，유교대적응용개치。
Objecit ve:To compare stapling and suture techniques used in orthopedic incision in the shoulder and elbow parts efficacy , and to explore the application value of disposable skin closure in the shoulder and elbow parts of the skin incision .Methods:150 cases of patients with shoulder and elbow parts of the surgery , were randomly divided into treatment group 77 cases using a disposable skin stapler , 73 cases of the control group using conventional suture the incision .The incision infection, wound dehiscence, inflammation (swelling), secretions, necrosis, allergic reactions, 3 months after the incision centipede disease incidence , stitching speed, stitches (nail) when the degree of pain , nine indicators were statistically analyzed .Resutl s:The degree of pain when the two groups in the speed of stitching , stit-ches (stapled), the incision the centipede disease incidence differences were significantly (P <0.01), the treatment group have a higher degree of pain;faster suture; the centipede disease incidence was 0%after the follow -up, however, it was 35.61% in the control group;two groups were no significant differences in the incidence of infection , dehiscence ,inflammatory reaction (swelling), secretions, necrosis, allergic reactions.Conclusion:Stapling techniques( disposable skin staplers )were faster the suture speed and better cosmetic re-sults than suture techniques ( silk) in orthopedic incision in the shoulder and elbow parts .