CAJ | 학술논문

目的探索改良“荷包”缝合法在皮肤圆形缺损的修复中,对术中张力调节及术后瘢痕形成的影响.方法选择面部皮肤圆形病灶患者28例,沿病灶边缘切除,先利用皮内“荷包”缝合,缩小圆形缺损面积,再行顺皮纹方向的对位缝合达到Ⅰ期线性闭合,术后7d拆线,观察疗效.结果所有患者面部器官无变形及移位,线性瘢痕长度较术前病灶长径短,除1例患者拆线后切口表皮裂开,其余切口均Ⅰ期愈合,随访3个月至1年,治疗效果满意.结论改良“荷包”缝合法能Ⅰ期线性闭合切口,可有效减少皮肤圆形缺损修复的瘢痕面积,维持邻近体表器官的正常形态及位置.
목적 탐색개량“하포”봉합법재피부원형결손적수복중,대술중장력조절급술후반흔형성적영향.방법 선택면부피부원형병조환자28례,연병조변연절제,선이용피내“하포”봉합,축소원형결손면적,재행순피문방향적대위봉합체도Ⅰ기선성폐합,술후7d탁선,관찰료효.결과 소유환자면부기관무변형급이위,선성반흔장도교술전병조장경단,제1례환자탁선후절구표피렬개,기여절구균Ⅰ기유합,수방3개월지1년,치료효과만의.결론 개량“하포”봉합법능Ⅰ기선성폐합절구,가유효감소피부원형결손수복적반흔면적,유지린근체표기관적정상형태급위치.
Objective To explore the effect of intraoperative tension adjustment and postoperative scar formation in the treatment of circular skin defects using modified purse-string suture.Methods Twenty-eight cases of circular lesions in the face region were selected and resected along the edge.We first used purse-string suture technique to reduce the circular defect area,and then closed the wound with linear suture in random direction.After 7 days,the stitches were removed and longterm follow-up effects were observed.Results All patients had no facial organ deformation and displacement,the length of the linear scar lesions was shorter than the preoperative length.In 28 cases,one patient's surgical wound was dehisced after removal of stitches in 24 h,and the rest of the skin defects healed after operation in stage Ⅰ.All cases were followed up for 3 months to 1 year,and had a satisfactory therapeutic effect.Conclusions Modified purse-string suture can linearly close the dicision in stage Ⅰ,reduce the scar area and maintain the normal morphology and relative position of the nearby organs.