医用组织粘合剂联合额肌瓣在患儿额部外伤美容缝合术中的应用(1)
[摘要]目的：探讨医用组织粘合剂联合额肌瓣减张缝合技术在患儿额部外伤美容缝合术中的应用。方法：选取笔者科室114例额部外伤患儿，按随机数字表法分为观察组和对照组。观察组61例采用医用组织胶水联合额肌瓣减张缝合技术；对照组53例皮肤表面采用7-0尼龙线间断缝合。术后从切口缝合效果、切口愈合效果及切口回访满意率三个方面来评估临床效果。结果：观察组总有效率及满意率分别为100.00%、85.25%明显优于对照组的86.79%、54.72%，差异有统计学意义(P<0.05)。两组均未出现严重不良反应，观察组甲级愈合率为100.00%，对照组为90.57%，组间比较差异无统计学意义(P>0.05)。结论：医用组织胶水联合额肌瓣减张缝合技术用于儿童额部外伤美容缝合术中，术后效果良好，值得推广。
[关键词]额部外伤；额肌瓣；医用组织粘合剂；美容缝合；儿童
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0113-03
, 百拇医药
Abstract： Objective To investigate the application of medical tissue adhesives combined with frontal muscle flap suturing and suturing technique in children's frontal trauma cosmetic suture. Methods 114 children with frontal injury were divided into two groups(the observation group and the control group) according to the random number table method. In the observation group， 61 patients were treated with a combination of medical tissue glue combined with frontal muscle flap reduction and suture. 53 patients in the control group were treated with 7-0 nylon thread suture. Postoperative clinical efficacy evaluation was mainly evaluated from three aspects， incision suture effect， incision healing effect and satisfaction rate. Results The total effective rate and satisfaction rate of observation group were 100.00% and 85.25% respectively， which were significantly better than those of control group (86.79%， 54.72%)， the differences were statistically significant(P<0.05). No serious adverse reactions were observed in the two groups. The rate of grade a healing was 100.00% in the observation group and that in the control group was 90.57%， there was no significant difference between the two groups(P>0.05). Conclusion The medical tissue glue combined with frontal muscle flap tension-reduced suture technique is suitable for children's frontal trauma cosmetic suture.
, 百拇医药
Key words： forehead trauma； frontal muscle flap； medical tissue adhesive； cosmetic suture； children
兒童由于其运动能力强，自我保护意识弱，常常不能预估危险致额部软组织不同程度的损伤。伤口位于颜面部，一旦处理不当留有明显的皮肤瘢痕将严重影响患儿容貌及心理发育。随着整形美容缝合技术的进步，在充分消灭死腔、皮缘对齐缝合的基础上，需最大限度地改善伤口外观及瘢痕情况。在额部，伤口深达骨面时，随着患儿生长发育，头颅长大，术后容易形成凹陷性瘢痕。对此，为进一步提高术后美容治疗效果，需采取改进的缝合修复方法。笔者科室将医用组织胶水联合额肌瓣减张缝合技术应用于儿童额部外伤美容缝合术中，发现缝合术后效果良好，值得推广。
1 资料和方法
1.1 一般资料：选取笔者科室2015年9月-2017年9月治疗的小儿额部外伤患儿共114例作为研究对象。致伤原因：摔伤、锐器伤等；伤口均为皮肤全层裂伤，最长7.2cm，最短1.0cm；患儿均对医用组织胶水及缝合线无过敏反应。排除标准：伤口严重污染以及人畜咬伤。将是否使用医用组织胶水进行分组，其中观察组61例，年龄2～11岁，平均4.78岁。对照组53例，年龄2～11岁，平均5.42岁。两组患儿在年龄、性别等方面比较，差异无统计学意义(P>0.05)。
1.2 材料：医用组织粘合剂(α-氰基丙烯酸正丁酯，广东龙心医疗器械有限公司)；6-0可吸收外科缝合线(PGA RESORBA，通用医疗)；7-0尼龙外科缝线(7-0非可吸收尼龙外科缝线，ETHICON)。, http://www.100md.com(张博 邹勃生 尹轩羽)
[关键词]额部外伤；额肌瓣；医用组织粘合剂；美容缝合；儿童
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0113-03
, 百拇医药
Abstract： Objective To investigate the application of medical tissue adhesives combined with frontal muscle flap suturing and suturing technique in children's frontal trauma cosmetic suture. Methods 114 children with frontal injury were divided into two groups(the observation group and the control group) according to the random number table method. In the observation group， 61 patients were treated with a combination of medical tissue glue combined with frontal muscle flap reduction and suture. 53 patients in the control group were treated with 7-0 nylon thread suture. Postoperative clinical efficacy evaluation was mainly evaluated from three aspects， incision suture effect， incision healing effect and satisfaction rate. Results The total effective rate and satisfaction rate of observation group were 100.00% and 85.25% respectively， which were significantly better than those of control group (86.79%， 54.72%)， the differences were statistically significant(P<0.05). No serious adverse reactions were observed in the two groups. The rate of grade a healing was 100.00% in the observation group and that in the control group was 90.57%， there was no significant difference between the two groups(P>0.05). Conclusion The medical tissue glue combined with frontal muscle flap tension-reduced suture technique is suitable for children's frontal trauma cosmetic suture.
, 百拇医药
Key words： forehead trauma； frontal muscle flap； medical tissue adhesive； cosmetic suture； children
兒童由于其运动能力强，自我保护意识弱，常常不能预估危险致额部软组织不同程度的损伤。伤口位于颜面部，一旦处理不当留有明显的皮肤瘢痕将严重影响患儿容貌及心理发育。随着整形美容缝合技术的进步，在充分消灭死腔、皮缘对齐缝合的基础上，需最大限度地改善伤口外观及瘢痕情况。在额部，伤口深达骨面时，随着患儿生长发育，头颅长大，术后容易形成凹陷性瘢痕。对此，为进一步提高术后美容治疗效果，需采取改进的缝合修复方法。笔者科室将医用组织胶水联合额肌瓣减张缝合技术应用于儿童额部外伤美容缝合术中，发现缝合术后效果良好，值得推广。
1 资料和方法
1.1 一般资料：选取笔者科室2015年9月-2017年9月治疗的小儿额部外伤患儿共114例作为研究对象。致伤原因：摔伤、锐器伤等；伤口均为皮肤全层裂伤，最长7.2cm，最短1.0cm；患儿均对医用组织胶水及缝合线无过敏反应。排除标准：伤口严重污染以及人畜咬伤。将是否使用医用组织胶水进行分组，其中观察组61例，年龄2～11岁，平均4.78岁。对照组53例，年龄2～11岁，平均5.42岁。两组患儿在年龄、性别等方面比较，差异无统计学意义(P>0.05)。
1.2 材料：医用组织粘合剂(α-氰基丙烯酸正丁酯，广东龙心医疗器械有限公司)；6-0可吸收外科缝合线(PGA RESORBA，通用医疗)；7-0尼龙外科缝线(7-0非可吸收尼龙外科缝线，ETHICON)。, http://www.100md.com(张博 邹勃生 尹轩羽)
参见：100md首页 > 保健版 > 美容瘦身 > 美容常识