摘要
目的比较Prolene聚丙烯缝线与普通丝线用于原发性大隐静脉曲张患者大隐静脉高位结扎加剥脱术缝合皮肤的效果。方法纳入四川大学华西医院2015年1月1日至2015年12月31日期间入院且符合纳入标准的原发性大隐静脉曲张患者共83例,其中男27例,女56例;年龄30~63岁,平均46.7岁;CEAP分级C2级42例,C3级41例。将患者根据入院日期的顺序分为丝线组(奇数次序,n=38)和滑线组(偶数次序,n=45),丝线组采用1#慕丝线而滑线组采用Prolene 5-0聚丙烯缝线缝合皮肤。预定术后6个月随访患者的切口区色素、切口区色素宽度、缝线区色素、缝线区色素宽度、患者与观察者瘢痕评分,患者与观察者对切口的满意度评分。结果(1)2组患者的性别、年龄、体质量指数、随访时间及C2级患者和吸烟患者的比例比较差异均无统计学意义(P>0.05)。(2)手术成功率为100%,所有手术切口均愈合良好,无切口感染,2组分别有2例患者术后第3天有1个切口皮下有少许血肿,予以换药处理后明显好转,所有患者均于术后14 d拆除缝线,均获得随访。(3)2组患者的切口区色素及切口区色素宽度比较差异均无统计学意义(P>0.05),滑线组的缝线区色素及缝线区色素宽度均明显优于丝线组(P<0.05)。(4)2组患者的观察者瘢痕评分及患者瘢痕评分评估结果比较差异均无统计学意义(P>0.05),滑线组的观察者满意度评分和患者满意度评分均明显高于丝线组(P<0.05)。结论 Prolene聚丙烯缝线较普通丝线用于大隐静脉曲张手术皮肤缝合的切口美观性有优越性,可以提高患者和观察者对切口的满意度。
Objective To compare scar and incision satisfaction between Prolene polypropylene suture and conventional silk suture for dermal suture in high ligation and stripping of primary great saphenous varicose vein. Methods A total of 83 patients who met the inclusion criteria were admitted in the West China Hospital, including 27 males and 56 females. The average age was 46.7 years old, ranging from 30 to 63 years old. Forty-two patients were grade C2 and 41 were grade C3 according to the CEAP grading. Patients were divided into a polypropylene suture group （even number, n=45） and a silk suture group （odd number, n=38） according to admission date order. Prolene 5-0 polypropylene suture was used for dermal suture in the patients of the polypropylene suture group and 1# silk suture in the patients of the silk suture group. The pigments of incision area and suture area and their widths, and the points of Patient and Observer Scar Assessment Scale score （POSAS） and patient and observer satisfaction score of incision were observed on month 6 for following-up. Results ① The gender, age, body mass index, and proportion of C2 of the CEAP grading or smoking had no significant difference between these two groups （P〉0.05）. ② All the operations were successful and all the patients were followed up. All the incisions healed well and had no infection. There was a few subcutaneous hematoma in one incision of the 2 patients on day 3 after operation in the two groups, which markedly improved after dressing treatment. The sutures of all the patients were removed on day 14 after operation. ③ The pigment of incision area and its width, and the points of POSAS had no significant differences between the two groups （P〉0.05）. The pigment of suture area and its width, and the points of patient and observer satisfaction score of the incision in the polypropylene suture group were significantly better than those in the silk suture group （P〈0.05）. Conclusion Prolene polypropylene suture is preference to conventional silk suture in aesthetic results and patient satisfaction for dermal suture of great saphenous varicose vein surgery.
出处
《中国普外基础与临床杂志》
CAS
2017年第5期593-598,共6页
Chinese Journal of Bases and Clinics In General Surgery
关键词
大隐静脉曲张
美观性
丝线缝线
聚丙烯缝线
皮肤缝合
great saphenous varicose vein
aesthetic
silk suture
polypropylene suture
dermal suture
