自体头发在缝合面部伤口的美容效果观察

Cosmetic effect of autogenous hair in the facial wound suture

目的观察应用自身头发缝合面部伤口的临床效果。方法将172例面部手术病人应用自身头发缝合伤口，按手术顺序编号，分为观察组和对照组。观察组采用头发缝合伤口皮肤层，对照组使用1～5个0号丝线缝合皮肤层。结果观察组术后观察伤口无线结反应、组织反应性肿胀，疼痛反应轻、无硬结，且拆线无痛、伤口愈合后疤痕不明显。对照组术后有24例发生硬结，有12例产生蜈蚣足样疤痕，伤口愈合后的质量明显差于自体头发缝合组（P〈0．05）。结论采用自身头发缝合面部伤口可明显提高伤口愈合的质量，美容效果佳，值得临床推广。

Objective To investigate the cosmetic effect of autogenous haire in the facial wound suture. Methods One hundred and seventy-two patients whose facial region should be operated were divided into two groups according to the operative order number. The patients in the observation group were used autogenous hair to suture the skin layer of facial wound, while the patients in the control group were used 1 - 5 0 silk threads to suture the skin layger. Results Compared with the control group,in the observation group the sewing thread response and sar formation were less after operation. There was significant defference between two groups （P 〈 0. 05）. Conclusion Using autog- enous hair in the facial wound suture can improve the quality of wound heading and cosmetic effect, and should be extended in clinic.