间断平行褥式预置拉拢缝合法在手背减张切口中的应用

The application of the interruption-pavallel to mattress method on the relief incision of the back hands

目的观察间断平行褥式预置拉拢缝合在手背部减张切口中的应用效果。方法2009年12月-2011年6月，对40例64处手背减张切口采用间断平行褥式预置拉拢缝合．术后2～3d开始逐步收紧创口。结果64处切口在经过2～5次（平均3次）收紧，约2周后，所有切口均一期闭合。28例术后随访1～2个月（平均1个月），无创面感染，线状瘢痕柔软，无增生，手部各关节活动正常。结论间断平行褥式预置缝合手背减张切口的疗效肯定，减少了二次手术痛苦，该方法省时、简便、快捷、病程短、费用低，值得临床推广．

Objective To evaluate the results of the interruption-pavallel to mattress method which were applied on the relief incision of back hands. Methods From December 2009 to June 2011, 64 relief incision of the 40 patients were sutured through interruption-pavallel to mattress method.Then fraped the incision step by step 2 to 3 days after operation. Results Through 2.5 to 5 times. （mean 3.0 times）striction bedside.All patients incision got primary closure after 2 weeks.28 patients were followed up from 1 to 2 months （mean 1 month）.The scar of the incision were not obviously or as low grade filiate scar and no wound infection at the last follow-up. Conclusion The method is characterized by less medical expense, simple procedure, so it is a reliable method in the treatment of relief incision.