深部埋置环形褥式缝合术应用于颜面部浅表良性肿瘤切除后的效果

The Effect of Deep Buried Circular Mattress Suture Surgery on the Removal of Superficial Benign Tumors in the Facial Region

目的探讨深部埋置环形褥式缝合术在行肿瘤切除术治疗的颜面部浅表良性肿瘤患者中的应用效果。方法将82例接受肿瘤切除术治疗的颜面部浅表良性肿瘤患者按入院时床位的奇、偶数随机分为术后接受皮内埋没缝合术治疗的对照组(n=41)和术后接受深部埋置环形褥式缝合术治疗的试验组(n=41),对比两组患者切口愈合情况、瘢痕情况、心理状况以及并发症发生情况。结果试验组切口愈合时间短于对照组(P<0.05),愈合情况好于对照组(P<0.05);术后3个月,试验组瘢痕评估量表中血管分布、厚度、规则程度、表面面积、瘙痒程度、表面平整度的评分均低于对照组(P<0.05),其余各项评分比较差异无统计学意义(P>0.05);术后3个月,两组焦虑、抑郁自评量表评分均低于术前,且试验组低于对照组(P<0.05);试验组并发症总发生率低于对照组(P<0.05)。结论在行肿瘤切除术治疗的颜面部浅表良性肿瘤患者的术后缝合技术中,相比于皮内埋没缝合术,深部埋置环形褥式缝合术更有利于切口的愈合和术后瘢痕增生的减轻,对患者的心理状态和不良反应方面也具有改善和降低作用。

Objective To explore the application effect of deep buried circular mattress suture surgery in patients with superficial benign facial tumors undergoing tumor resection.Methods 82 patients with superficial benign facial tumors treated with tumor resection were randomly divided into a control group(n=41)who received postoperative treatment with subcutaneous embedding suture(n=41)and an experimental group(n=41)who received postoperative treatment with deep buried circular mattress suture(n=41)based on the odd or even number of beds at admission.The wound healing,scar condition,psychological status,and incidence of complications were compared between the two groups.Results The healing time of the incision in the experimental group was shorter than that in the control group(P<0.05),and the healing situation was better than that in the control group(P<0.05);After 3 months of surgery,the scores of vascular distribution,thickness,regularity,surface area,itching degree,and surface smoothness on the scar assessment scale in the experimental group were lower than those in the control group(P<0.05),and there was no statistically significant difference in other scores(P>0.05);Three months after surgery,both groups had lower scores on the Self Rating Anxiety and Depression Scale than before surgery,and the experimental group had lower scores than the control group(P<0.05);The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion In the postoperative suture technique for patients with superficial benign facial tumors undergoing tumor resection,compared to intradermal buried suture,deep buried circular mattress suture is more conducive to incision healing and postoperative scar hyperplasia reduction.It also has a more significant improvement and reduction effect on the patient's psychological state and adverse reactions.