清创粘合术在皮肤裂伤患者中的应用

Debrtdement and adhesive in the management of skin lacerations

目的 探讨皮肤裂伤伤口处理的理想方法。方法 2000年5月至2005年5月，有1006例皮肤裂伤患者施行了清创粘合术。对其感染、伤口裂开及愈后外观满意程度作回顾性分析。结果 早期复诊926例（92％）均一期愈合，甲级愈合95．5％，无丙级愈合。愈合外观满意指数：在随访的347例患者中，优良225例（64．8％），满意111例（32％），不满意11例（3．2％）。结论 与清创缝合术比较，清创粘合术在皮肤挫（撕）裂伤处理方面、在机制、抗感染效果及愈后外观满意程度上都比较好。清创粘合术是对清创术概念的补充和拓展。

Objective To find a new method in treatment of skin lacerations. Method Retrospective analysis of 926 skin laceration patients who were treated with debridement and adhesive was carried out. The sizes of the wound were 0.5 to 13 cm （means 4.3 cm）. In the process of debridemant, cottons or gauzes was used for hemostasis by compression. After the bleeding stopped and wound was carefully examined, skin adhesive was performed. Results No significant infection oceured in all patients, especially no suppuration formation. The compression time of cottons or gauzes was 5 minutes to 6 hours （means 14.2 minutes）. According to Quinn＇ s cosmatie categorical scale, the excellent rate was 64.8%, the adequate was 32%, and unacceptable was 3.2% . Conclusion The wound of skin laceration with cottons or gauzes compression was useful for stopping bleeding. A clean wound was important to prevent infection, and was the precondition for skin adhesives.