美容缝合技术在颌面部创伤外科整形术中的应用

Application of Aesthetic Suture Technique in Maxillofacial Trauma Plastic Surgery

目的探讨在颌面部创伤外科整形术中应用美容缝合技术的效果。方法选择2021年1月—2023年4月建湖县人民医院收治的颌面部创伤整形手术患者62例为研究对象,随机分为对照组(n=31,予以常规清创缝合技术)与观察组(n=31,予以美容缝合技术),比较两组临床指标以及治疗效果,采用温哥华瘢痕评定量表(Vancouver Scar Scale,VSS)评估术后瘢痕状态,另对比术后并发症发生率。结果观察组手术时间(66.27±11.57)min长于对照组,水肿时间(4.10±0.81)d、愈合时间(4.75±0.69)d、拆线时间(5.52±1.10)d,均短于对照组,差异有统计学意义(t=3.143、11.879、4.761、9.950,P均<0.05)。观察组治疗总有效率(93.55%)较对照组的74.19%高,差异有统计学意义(χ^(2)=4.292,P<0.05)。术后观察组VSS各维度评分:色泽(1.17±0.27)分、厚度(1.02±0.22)分、柔软度(1.39±0.30)分、血管分布(0.98±0.22)分,均小于对照组,差异有统计学意义(t=4.787、4.347、2.970、5.048,P均<0.05)。观察组并发症率6.45%较对照组的29.03%低,差异有统计学意义(χ^(2)=5.415,P<0.05)。结论在颌面部创伤外科整形中采用美容缝合方案手术时间略长,但伤口术后恢复更快,愈合质量好,瘢痕轻微,并发症风险低。

Objective To investigate the effect of aesthetic suture technique in maxillofacial trauma surgery.Methods 62 patients with maxillofacial trauma plastic surgery admitted to Jianhu County People's Hospital from January 2021 to April 2023 were selected as the study objects,and randomly divided into the control group(n=31,with routine de⁃bridement and suture technology)and the observation group(n=31,with cosmetic suture technology),and the clinical indicators and therapeutic effects of the two groups were compared.The status of postoperative Scar was evaluated by the Vancouver Scar Scale(VSS),and the incidence of postoperative complications was compared.Results The opera⁃tion time of the observation group was(66.27±11.57)min,which was longer than that of the control group.The edema time,healing time and suture removal time were(4.10±0.81)d,(4.75±0.69)d and(5.52±1.10)d,which were shorter than those of the control group,the differences were statistically significant(t=3.143,11.879,4.761,9.950,all P<0.05).The total effective rate of 93.55%in the observation group was higher than that of 74.19%in the control group(93.55%vs 74.19%),and the difference was statistically significant(χ^(2)=4.292,P<0.05).Postoperative VSS scores of the observation group:color(1.17±0.27)points,thickness(1.02±0.22)points,softness(1.39±0.30)points and blood vessel distribution(0.98±0.22)points were all lower than those of control group,and the differences were statistically significant(t=4.787,4.347,2.970,5.048,all P<0.05).The complication rate of 6.45%in the observation group was lower than that of 29.03%in the control group,and the difference was statistically significant(χ^(2)=5.415,P<0.05).Conclusion Aesthetic suture in maxillofacial trauma surgery takes a little longer time,but the wound recovery is faster,the healing quality is good,the scar is slight,and the risk of complications is low.