免缝拉合胶与皮内缝合线闭合甲状腺手术切口效果的比较

Effects of Skin Closure Strip versus Percutaneous Suture for the Closure of Thyroid Surgery

【目的】对比研究皮肤免缝拉合胶与Protene皮内缝合线在闭合甲状腺手术切口的效果。【方法】将本组60例甲状腺手术患者随机分为免缝拉合胶组（30例）和Prolene组（30例）进行手术后切口缝合。观察闭合切口时间、术后切口疼痛程度、术后1周患者对切口愈合的满意度和美观效果及术后3个月切口瘢痕情况。【结果】在闭合皮肤时间方面免缝拉合胶组显著短于Prolene组，差异有显著性（P〈0．05）。术后1周患者对切口愈合的满意度免缝拉合胶组显著高于Prolene组，差异有极显著性（P〈0．01）。在切口疼痛率和术后3个月切口瘢痕明显程度方面两组差异无显著性（P〉0．05）。【结论】皮肤免缝拉合胶作为一种新型闭合切口技术，能够显著缩短关皮时间，极大提高患者出院时的满意度，值得在甲状腺手术中大力推广。

[Objective] To explore the effects of skin closure strip and Prolene percutaneous suture for the incision closure of thyroidectomy. [Methods] Sixty cases of patients undergoing thyroid surgery were randomly divided into skin closure strip group（ n =30） and Prolene group（ n =30）. Incision closure time, the degree of postoperative incision pain, the satisfaction of wound healing after one week, aesthetic results and the situation of incision scar at 3 months after operation were observed. [Results] The time of skin closure in skin closure strip group was significantly shorter than that in Prolene group, and there was significant difference （ P 〈0.01）. At one week after operation, the satisfaction of wound healing in skin closure strip group was signif icantly higher than that in Prolene group, and the difference was significant （ P〈0.01）. Pain in the incision and the level of incision scars after 3 months has no significant difference between two groups （ P 〉0.05）. [Conclusion] Skin closure strip as a new technology can significantly shorten the closure time of skin, which can greatly improve patients satisfaction at discharge, so it is worth to be spread in thyroid surgery greatly.