皮肤深层减张缝合研究进展

The research progress of tension-reducing suture of deep layer skin

目的总结皮肤深层减张缝合的研究进展,为深刻理解和改良深层减张缝合方法提供系统性资料。方法广泛查阅国内外皮肤深层减张缝合的相关文献,总结各种方法的特点及临床应用。结果皮肤深层减张缝合主要包括垂直褥式缝合及其改良缝合技术、水平褥式缝合及其改良缝合技术,以及一些特殊缝合技术,每种缝合技术都有其特点而适用于不同张力及形状的切口。结论外科医生应根据切口位置、张力大小等因素选择相应的深层减张缝合技术,对切口进行充分减张,以实现切口良好愈合,预防瘢痕增生。

Objective To provide systematic information for deep understanding and improvement of tensionreducing suture of deep layer skin.Methods The related literature over the years was extensively collected and precisely processed to summarize the characteristics and applications of different tension-reducing suture of deep layer skin.Results Throughout the development of plastic surgery,tension-reducing suture of deep layer skin mainly includes vertical mattress suture and its modified styles,horizontal mattress suture and its modified styles,and some special types of suture technique,and each one of them has its own characteristics and is suitable for wounds with different tension and shape.Conclusion Clinically,surgeons need to select appropriate tension-reducing suture techniques according to specific factors such as wound location and tension,so as to fully reduce the tension of the wound,which can achieve good wound healing and prevent the pathological scaring.