岭南现代临床外科2024，Vol.24Issue(6)：384-387,4.DOI:10.3969/j.issn.1009-976X.2024.06.008
皮内缝合法与间断缝合法缝合头皮在额外侧入路手术中的比较
Comparison of intradermal and interrupted suture techniques for scalp closure in the frontolat-eral approach surgery
何山 1付涛 1王计伟 1张海红1
作者信息
- 1. 天津市环湖医院神经外科,天津 300350
- 折叠
摘要
Abstract
Objective To explore the differences between intradermal suturing and interrupted sutur-ing techniques for scalp incision closure in the frontolateral approach surgeries,specifically regarding suturing speed,postoperative wound healing rates,maximum scar width,and average length of hospital stay.This study aims to provide a new strategy for incision closure in the frontolateral approach.Methods A total of 99 patients who underwent the frontolateral approach surgery at Tianjin Huanhu Hospital Neuro-surgery Department from February 2020 to February 2024 were selected.Patients were divided into two groups based on the odd or even dates of their surgeries:the interrupted suture group(47 cases)and the intradermal suture group(52 cases).Data were recorded,including intraoperative suturing time,incision length,postoperative wound healing outcomes,length of hospital stay,and maximum scar width at three months postoperatively.Results The suturing speeds for the interrupted and intradermal suture groups were(1.99±0.62)cm/min and(1.96±0.66)cm/min,respectively.Three months postoperatively,the maximum scar widths were(3.40±1.30)mm for the interrupted suture group and(1.96±0.90)mm for the intradermal suture group.The rates of excellent wound healing were 78.72%for the interrupted suture group and 96.15%for the intradermal suture group.The average length of hospital stay was(11.13±2.87)days for the interrupted suture group and(8.71±3.11)days for the intradermal suture group.Comparisons between the two groups revealed statistically significant differences in rates of excellent wound healing,maximum scar width,and average length of hospital stay(P<0.05).Conclusion Compared to interrupted suturing,the use of intradermal suturing for closing incisions in the frontolateral approach surgeries can improve postoperative wound healing rates,shorten hospital stay durations,and does not increase surgi-cal time.Additionally,it offers advantages of smaller and more aesthetically pleasing scars.关键词
额外侧入路/皮内缝合/切口愈合/间断缝合Key words
the frontolateral approach/intradermal suture/incision healing/interrupted suture分类
医药卫生引用本文复制引用
何山,付涛,王计伟,张海红..皮内缝合法与间断缝合法缝合头皮在额外侧入路手术中的比较[J].岭南现代临床外科,2024,24(6):384-387,4.
