三种缝合线在颌面颈部手术中的应用

Application on 3 types of sutures in maxillofacial and neck surgery

目的将3种不同缝合线在颌面颈部切口中的应用效果进行比较。方法将150例患者随机分为3组,每组50例,分别为:抗菌薇乔组(采用0号抗菌可吸收缝合线间断缝合皮下组织,AAS组)、PDS组(采用0号聚对二氧环己酮可吸收缝合线间断缝合皮下组织)、Control组(以0号普通丝线间断缝合皮下组织,CON组)。结果抗菌薇乔组和PDS组术后疼痛评分同Control组进行比较,差异有统计学意义(P<0.05);抗菌薇乔组和PDS组术后并发症明显低于Control组(P<0.05),切口愈合程度(P<0.05)抗菌薇乔组切口抗感染能力最强(P<0.01)。结论抗菌薇乔和PDS两种可吸收缝合线同普通丝线比较能减轻切口疼痛、减低排异反应、减少切口裂开及瘢痕形成;抗菌薇乔缝合线可减低切口感染率。

Objective To compare the effect of antibacterial absorbable sutures （AAS） and poly （p-dioxanone）absorbable sutures（PDS） and common sutures in maxillofacial and neck incision. Methods The 150 patients were randomly di- vided into three groups, with 50 cases in each group, including the AAS（subcutaneous tissue were treated with treclosan-coated antibacterial absorbable 0 sutures）, PDS （subcutaneous tissue were treated with PDS 0 sutures）, and control group （subcutaneous tissue were treated with common 0 sutures）. Results The AAS group and the PDS group were significantly lower than control group （P〈0.05）.The complications in the AAS group and the PDS group were significantly lower than the control group（P〈0.05） ; in particular, the incisional infection was the lowest in the AAS group（P〈0.01 ）. Conclusion The use of absorbable suture in maxillofacial and neck incision can alleviate the incision pain, and reduce rejection reaction, scar formation, incisional disruption; while, the antibacterial absorbable suture can reduce incisional infection significantly.