摘要
目的探讨胶原蛋白线与丝线在处理颜面部犬咬伤清创缝合术中的临床应用效果。方法将2020年1月至2022年6月于该科就诊的46例面部创伤患者随机分为蛋白线组(n=24)和丝线组(n=22)。2组患者均在电刀充分止血后予以5-0可吸收外科缝合线减张缝合,逐层重建重要肌肉及形态。蛋白线组患者应用6-0佳修可吸收胶原蛋白线间断缝合皮肤,丝线组患者应用1号丝线间断缝合皮肤。比较2组患者术后伤口感染率、术后拆线疼痛视觉模拟评分法(VAS)评分,术后1、3、6个月温哥华评估量表(VSS)评分。结果2组患者术后伤口感染率比较,差异无统计学意义(P>0.05);蛋白线组患者术后拆线疼痛VAS评分,术后1、3、6个月VSS评分均低于丝线组,差异均有统计学意义(P<0.05)。结论胶原蛋白线应用于颜面部犬咬伤清创缝合术疗效优于普通丝线。
Objective To investigate the efficacy of collagen thread and silk thread in debridement and suture of facial dog bite.Methods A total of 46 facial trauma patients who visited this department from January 2020 to June 2022 were randomly divided into the collagen thread group(n=24)and the silk thread group(n=22),and each group was treated with 5-0 absorbable surgical sutures after adequate hemostasis by electrocautery to reconstruct important muscles and morphology layer by layer.The patients in the collagen thread group were sutured with 6-0 modified absorbable collagen thread,while the patients in the silk group were sutured with No.1 silk thread.Postoperative wound infection rate,Visual Analogue Scale(VAS)score and Vancouver Scar Scale(VSS)score at 1,3 and 6 months after surgery were compared between the two groups.Results There was no significant difference in postoperative wound infection rate between two groups(P>0.05).The VAS score of postoperative suture removal in the collagen thread group and the VSS score at 1,3 and 6 months after surgery were lower than those in the silk thread group,with statistically significant differences(P<0.05).Conclusion The effect of collagen thread applied in debridement suture of facial dog bite is better than that of ordinary silk thread.
作者
王斌
黄和金
汪宇
李馨雅
毕国善
阳小进
WANG Bin;HUANG Hejin;WANG Yu;LI Xinya;BI Guoshan;YANG Xiaojin(Department of Emergency,the Second Affiliated Hospital of Hengyang Medical School,University of South China,Hengyang,Hunan 421001,China)
出处
《现代医药卫生》
2023年第22期3845-3847,3854,共4页
Journal of Modern Medicine & Health
关键词
颜面部
犬咬伤
胶原蛋白线
丝线
清创缝合术
Facial area
Dog bite
Collagen thread
Silk thread
Debridement and suture
