精细缝合配合局部皮瓣在面部皮肤肿物切除修复中的应用

Application of refine suturing combined with local flap in repair of facial skin mass excision

目的探讨精细缝合配合局部皮瓣修复面部皮肤肿物切除术后创面的临床效果。方法选择2019年3月至2021年4月在我院行面部皮肤肿物切除术的86例患者,按随机数字表法分为观察组(43例)与对照组(43例),行面部皮肤肿物切除术后,观察组采取精细缝合+局部皮瓣修复创面,对照组采用传统缝合+局部皮瓣修复。比较两组围术期指标、术后瘢痕形成情况、术后并发症及患者满意度。结果观察组术后水肿时间、切口愈合时间及拆线时间均明显少于对照组,术后3月瘢痕宽度、最薄处厚度均小于对照组,术后12月瘢痕评分低于对照组,患者总满意率明显高于对照组,差异均有统计学意义(P<0.05),而两组切口甲级愈合率、并发症发生率比较无统计学差异(P>0.05)。结论采用精细缝合配合局部皮瓣修复面部皮肤肿物切除后创面,可明显减轻术后瘢痕形成,促进切口愈合,降低手术风险,提高患者满意度。

Objective To explore the effect of refine suturing technique combined with local flap in the repair of defect wound due to facial skin mass resection.Methods A total of 86 cases with facial skin mass admitted in our hospital from March 2019 to April 2021 were enrolled and randomly divided into observation group and control group according to the random number table method,with 43 cases for each group.After facial skin mass resection,refined suturing and local flap were applied to repair the defect wound in the observation group,while traditional suturing and local flap were in the control group.The perioperative indexes,scar formation,postoperative complications and satisfaction of patient were compared between the two groups.Results The time of postoperative edema,incision healing and suture removal were shorter,the width of scar and the thickness of the thinnest scar were less 3 months after the surgery,the scar score was lower 12 months after the surgery,and the total satisfaction rate was higher in the observation group than those in the control group,and all differences were statistical significantly(P<0.05).There was no statistical difference in the incidence of grade A incision healing and postoperative complication between the two groups(P>0.05).Conclusion The application of refine suturing technique combined with local skin flap can relieve surgical scar formation,promote incision healing,reduce surgical risk and improve patient's satisfaction in the repair of wound due to facial skin mass resection.