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精细缝合配合局部皮瓣在面部皮肤肿物切除修复中的应用

张领军 薛涵 刘明 薛仰杰

中国现代手术学杂志2024,Vol.28Issue(2):128-133,6.
中国现代手术学杂志2024,Vol.28Issue(2):128-133,6.DOI:10.16260/j.cnki.1009-2188.2024.02.008

精细缝合配合局部皮瓣在面部皮肤肿物切除修复中的应用

Application of refine suturing combined with local flap in repair of facial skin mass excision

张领军 1薛涵 1刘明 1薛仰杰1

作者信息

  • 1. 亳州市人民医院烧伤整形科,安徽亳州 236800
  • 折叠

摘要

Abstract

Objective To explore the effect of refine suturing technique combined with local flap in the repair of defect wound due to facial skin mass resection.Methods A total of 86 cases with facial skin mass admitted in our hospital from March 2019 to April 2021 were enrolled and randomly divided into observation group and control group according to the random number table method,with 43 cases for each group.After facial skin mass resection,refined suturing and local flap were applied to repair the defect wound in the observation group,while traditional suturing and local flap were in the control group.The perioperative indexes,scar formation,postoperative complications and satisfaction of patient were compared between the two groups.Results The time of postoperative edema,incision healing and suture removal were shorter,the width of scar and the thickness of the thinnest scar were less 3 months after the surgery,the scar score was lower 12 months after the surgery,and the total satisfaction rate was higher in the observation group than those in the control group,and all differences were statistical significantly(P<0.05).There was no statistical difference in the incidence of grade A incision healing and postoperative complication between the two groups(P>0.05).Conclusion The application of refine suturing technique combined with local skin flap can relieve surgical scar formation,promote incision healing,reduce surgical risk and improve patient's satisfaction in the repair of wound due to facial skin mass resection.

关键词

面部皮肤肿物/精细缝合/局部皮瓣/修复

Key words

facial skin mass/refine suturing/local flaps/repair

引用本文复制引用

张领军,薛涵,刘明,薛仰杰..精细缝合配合局部皮瓣在面部皮肤肿物切除修复中的应用[J].中国现代手术学杂志,2024,28(2):128-133,6.

中国现代手术学杂志

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1009-2188

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