CAJ | 학술논문

目的介绍改良连续皮内缝合闭合手术切口的方法及临床效果.方法选取82例手术患者,其中色素痣37例,基底细胞癌10例,皮脂腺囊肿16例,脂肪瘤6例,脂溢性角化8例,皮肤纤维瘤3例,凹陷性瘢痕2例.所有皮损均采用单纯手术切除,术后切口长度最短0.8 cm,最长12 cm.术后切口采用改良连续缝合,即将两端带有小三角针的可吸收线,分别按从一侧皮缘真皮内进、出针,然后再从对侧皮缘真皮内进、出针的顺序缝合切口.结果 82例手术患者,术后均采用改良连续皮内缝合法闭合手术切口,80例Ⅰ期愈合,2例术后2d开始红肿,疼痛,经对症处理5d后红肿消失.术后随访3～6个月,78例切口对合平整、光滑,4例出现瘢痕增生,给予糖皮质激素局部封闭后明显缓解好转.无切口裂开.结论改良连续皮内缝合法用于面颈、躯干、四肢皮肤缺损,术后切口对合好,美容效果满意.
목적 개소개량련속피내봉합폐합수술절구적방법급림상효과.방법 선취82례수술환자,기중색소지37례,기저세포암10례,피지선낭종16례,지방류6례,지일성각화8례,피부섬유류3례,요함성반흔2례.소유피손균채용단순수술절제,술후절구장도최단0.8 cm,최장12 cm.술후절구채용개량련속봉합,즉장량단대유소삼각침적가흡수선,분별안종일측피연진피내진、출침,연후재종대측피연진피내진、출침적순서봉합절구.결과 82례수술환자,술후균채용개량련속피내봉합법폐합수술절구,80례Ⅰ기유합,2례술후2d개시홍종,동통,경대증처리5d후홍종소실.술후수방3～6개월,78례절구대합평정、광활,4례출현반흔증생,급여당피질격소국부봉폐후명현완해호전.무절구렬개.결론 개량련속피내봉합법용우면경、구간、사지피부결손,술후절구대합호,미용효과만의.
Objective To introduce an improved method of continuous intradermal suture,and to evaluate its clinical efficacy for the closure of surgical incisions.Methods Eighty-two patients were enrolled in this study,including 37 cases of nevus,10 cases of basal cell carcinoma,16 cases of sebaceous cyst,6 cases of lipoma,8 cases of seborrheic keratosis,3 cases of dermatofibroma and 2 cases of depressed scar.All the patients were managed by simple surgical excision with the shortest length of postoperative incisions being 0.8 cm and the longest length being 12 cm.An improved method of continuous intradermal suture was used for the closure of all the postoperative incisions.Specifically,an absorbable thread with a small triangle needle in both ends was inserted through and pulled out from the dermal layer at one side of the incision,and then inserted through and pulled out from the dermal layer at the opposite side of the incision,which was repeated until the incision was entirely closed.Results Among the 82 patients,80 achieved primary healing,and 2 developed erythematous painful swelling at the incision site 2 days after the operation,which disappeared after symptomatic treatment for 5 days.During 3-6 months of follow-up,the incisions closed leaving a flat and smooth surface in 78 patients,and proliferative scar formed in 4 patients,which was obviously improved after local injection with glucocorticoids.No disruption of incisions was observed.Conclusion The improved method of continuous intradermal suture can be applied to the closure of skin defects in the face,neck,trunk and extremities with a favorable healing outcome and cosmetic result.