摘要
目的探讨改良垂直埋没褥式缝合(MBVMS)在改善小儿面部外伤切口愈合质量及减少瘢痕形成中的临床价值。方法采用前瞻性随机对照研究设计,纳入2025年1至3月收治的90例面部线性外伤患儿,按随机数字表法分为对照组(n=45)和试验组(n=45),对照组采用单纯皮内埋没缝合(SBIS)技术,试验组采用改良垂直埋没褥式缝合(MBVMS)技术。比较两组术后即刻切口外翻高度、并发症发生率。术后3个月采用温哥华瘢痕评分量表(VSS)评估瘢痕质量,电子游标卡尺测量瘢痕宽度,视觉模拟评分(VAS)评估家属满意度。结果试验组术后即刻外翻高度[(2.55±0.76)mm]显著优于对照组[(1.71±0.36)mm](t=6.66,P<0.01);术后3个月VSS评分更低[(3.15±1.16),(3.82±1.09),t=-2.82,P<0.01],瘢痕宽度更窄[(0.80±0.31)mm,(1.00±0.21)mm,t=-3.75,P<0.01],VAS评分满意度[(8.58±1.06)分,(7.84±0.82)分,t=3.67,P<0.01]更高。结论MBVMS更有效维持切口外翻,减少真皮层张力,抑制面部外伤患儿术后瘢痕增生,提高患儿家属满意度。
Objective To evaluate the clinical value of the modified buried vertical mattress suture(MBVMS)in improving wound healing quality and reducing scar formation in pediatric facial trauma.Methods A prospective randomized controlled study was conducted,involving 90 children with linear facial trauma admitted between January 2025 and March 2025.Participants were randomly divided into a control group(n=45)and an experimental group(n=45).The control group received simple buried intradermal sutures(SBIS),while the experimental group received MBVMS.Immediate postoperative wound eversion height and complication rates were compared between the 2 groups.At 3 months postoperatively,scar quality was assessed using the Vancouver Scar Scale(VSS),scar width was measured with a digital vernier caliper,and family satisfaction was evaluated using the Visual Analog Scale(VAS).Results The experimental group[(2.55±0.76)mm]showed significantly better immediate postoperative wound eversion height compared to the control group[(1.71±0.36)mm](t=6.66,P<0.01).At 3 months postoperatively,the experimental group had lower VSS scores[(3.15±1.16),(3.82±1.09),t=-2.82,P<0.01],narrower scar width[(0.80±0.31)mm,(1.00±0.21)mm,t=-3.75,P<0.01],and higher family satisfaction VAS scores[(8.58±1.06),(7.84±0.82),t=3.67,P<0.01].Conclusion MBVMS is more effectively in maintaining wound eversion,reducing dermal tension,inhibiting postoperative scar hypertrophy in pediatric facial trauma patients,and increasing satisfaction among patients′families.
作者
翟君宇
程远
戚伟伟
Zhai Junyu;Cheng Yuan;Qi Weiwei(Department of Burn and Plastic Surgery,Anhui Province of Children′s Hospital,Hefei 230000,China)
出处
《中华诊断学电子杂志》
2025年第3期188-192,共5页
Chinese Journal of Diagnostics(Electronic Edition)
基金
安徽省儿童医院优秀专科医生项目(eyrc035)。
关键词
改良垂直埋没褥式缝合
单纯皮内埋没缝合
面部损伤
瘢痕
儿童
Modified buried vertical mattress suture
Simple buried intradermal suture
Facial injuries
Scar
Child
