中国美容医学2025，Vol.34Issue(8)：55-59,5.
三种不同吸收速率缝线对减张缝合抑制皮肤瘢痕效果的研究
Study on the Effect of Three Different Absorption Rate Sutures on Tension-relieving Suture in Inhibiting Skin Scar
朱鑫玺 1朱锦媛 2乔一帆 3南耿睿 4舒茂国 1贾晶1
作者信息
- 1. 西安交通大学第一附属医院整形美容颌面外科 陕西 西安 710061
- 2. 西安交通大学口腔医院 陕西省颅颌面精准医学研究重点实验室 陕西 西安 710004
- 3. 西安交通大学第一附属医院肿瘤内科 陕西 西安 710061
- 4. 西安交通大学 陕西 西安 710049
- 折叠
摘要
Abstract
Objective The purpose of this study is to explore the effect of sutures with different absorption rates on the wedge-shaped excision and modified buried vertical mattress suture technique to reduce skin scars.Methods From December 2021 to September 2022,18 patients who needed to undergo lower abdominal flap transplantation and resection in the author's hospital were selected as the research objects.The autologous control design was used.During the suture process of the flap donor site incision,the incision of each patient was divided into three segments,and the modified subcutaneous vertical mattress suture technique was used to reduce tension.In order to compare the clinical effects of different suture materials,three kinds of suture materials were used:polylactic acid absorbable suture(PLA),polydioxanone absorbable suture(PDS)and polyester nonabsorbable suture(PE).At 1,3,and 6 months after operation,the Vancouver scar scale(VSS),patient and observer scar assessment scale(POSAS)were used to evaluate the three-segment incision scar of all patients,the Visual analog scale(VAS)was used to evaluate patient satisfaction,and the occurrence of adverse reactions was observed and recorded.Results At 1 and 3 months after operation,the indexes of PDS group and PE group were better than those of PLA group(P＜0.05).At 6 months after operation,all indexes of PDS group were better than those of PE group and PLA group(P＜0.05).During the follow-up,no complications such as wound dehiscence,infection,and knot reaction occurred in all patients.Conclusion In the application of modified subcutaneous vertical mattress suture technique,PDS suture is superior to PE and PLA suture in inhibiting scar formation,which has high clinical promotion value.关键词
减张缝合/聚乳酸可吸收缝合线(PLA)/聚二氧环酮可吸收缝合线(PDS)/聚酯不可吸收缝合线(PE)/瘢痕Key words
tension reduction suture/polylactic acid absorbable suture/polydioxanone synthetic absorbable suture/polypropylene non-absorbable suture/scar分类
医药卫生引用本文复制引用
朱鑫玺,朱锦媛,乔一帆,南耿睿,舒茂国,贾晶..三种不同吸收速率缝线对减张缝合抑制皮肤瘢痕效果的研究[J].中国美容医学,2025,34(8):55-59,5.
