组织工程与重建外科杂志2025，Vol.21Issue(1)：60-64,5.DOI:10.3969/j.issn.1673-0364.2025.01.010
心形美容缝合与皮肤改良缝合对产后腹壁切口瘢痕及美观度的影响比较
Comparison of the effect of heart-shaped aesthetic suture and skin modified suture on postpartum abdominal wall incision scar and aesthetics
摘要
Abstract
Objective To explore the influence of heart-shaped cosmetic suture and skin modified suture on scar and aesthetic degree of postpartum abdominal wall incision.Methods Puerperae with cesarean section admitted from September 2021 to September 2023 were selected as the research subjects.According to the random number table method,the patients were classified into group A and group B,with 75 cases in each group.Group A received heart-shaped cosmetic suture,while group B was given skin modified suture.The surgery-related indicators of puerperae were recorded.The differences in postoperative incision pain[visual analogue score(VAS)]and healing were compared between the two groups of patients.The differences in scar status[patient and observer scar assess-mentscale(POSAS),scar hyperplasia rate,scar width,the thinnest scar thickness]and incision aesthetic degree at 6 months after surgery were compared,and the complications were recorded.Results The suture time and incision healing time in group A were significantly shorter than those in group B(P<0.05).At 7 and 30 days after surgery,the VAS score in group A was lower than that in group B,and the incision healing grading was better than that in group B(P<0.05).The POSAS scores,scar hyperplasia rate,scar width and the thinnest scar thickness in group A at 6 months after surgery were significantly lower than those in group B(P<0.05),and the effective rate of aesthetic degree was significantly higher than that in group B(P<0.05).The incidence rates of postoperative complications in group A were significantly lower compared to group B(P<0.05).Conclusion Heart-shaped cosmetic suture during cesarean section is helpful for postoperative incision healing,and can effectively reduce incision scar formation with a high cosmetic effect.关键词
剖宫产/心形美容缝合/皮肤改良缝合/瘢痕/美观度Key words
Cesarean section/Heart-shaped cosmetic suture/Skin modified suture/Scar/Aesthetic degree分类
临床医学引用本文复制引用
陈功琼,梁欢,谭娇娇..心形美容缝合与皮肤改良缝合对产后腹壁切口瘢痕及美观度的影响比较[J].组织工程与重建外科杂志,2025,21(1):60-64,5.基金项目
湖北省中医药管理局2023～2024年度中医药青年人才项目(ZY2023Q029). （ZY2023Q029）
