改良皮内缝合法在面部色素痣切除术中的应用

Application of modified intradermal suture in the resection of facial nevus

目的观察改良皮内缝合法与单纯间断缝合法在面部色素痣切除术中的应用效果。方法54例行面部色素痣切除术的患者分为单纯间断缝合组(对照组,28例)和改良皮内缝合组(观察组,26例)。两组患者均采用改良真皮内缝合法闭合切口后,分别采用单纯间断缝合法或改良皮内缝合法对皮肤外层进行精确对合。观察两组术后切口愈合情况,比较两组患者术后6个月温哥华瘢痕量表(VSS)评分及术后满意度情况。结果两组患者手术切口均为甲级愈合。观察组术后6个月VSS评分优于对照组(P<0.05);观察组患者术后总满意度高于对照组(P<0.05)。结论相比常规单纯间断缝合法,采用改良皮内缝合法可明显减轻患者面部色素痣切除术后瘢痕,提高愈合美观度及患者满意度。

Objective To observe the efficacy of modified intradermal suture in the resection of facial nevus.Methods A total of 54 cases underwent facial nevus resection were analyzed retrospectively,who were divided into a simple interrupted suture group(group C,28 cases)and modified intradermal suture group(group A,26 cases).After facial nevus resection,all incisions were closed without tension using modified dermis intradermal suture technique.And then the outer skins were sutured precisely with modified intradermal suture in group A and simple interrupted suture in group C,respectively.The wound healing grades of the two groups were observed.The score of Vancouver Scar Scale(VSS)and the postoperative satisfaction degree of patients were compared between the two groups 6 months after surgery.Results All incisions healed in grade A.The VSS score of group A was significantly better than that of group C(P<0.05).The total patient's satisfaction degree of group A was significantly higher than that of group C(P<0.05).Conclusion Compared with the simple interrupted suture,the modified intradermal suture can effectively reduce the scar after facial nevus resection,improve the healing aesthetics and patient's satisfaction.