180例外伤患者行早期美容缝合的临床效果观察
发布时间：2018-07-27 18:19
【摘要】：目的：观察外伤患者行早期美容缝合的治疗效果。方法：分析2012年9月至2013年9月来我科进行美容缝合的180例皮肤外伤患者,积极采用早期彻底扩创及美容缝合方法进行处理,对无皮肤缺损者可直接行精细缝合,如有皮肤组织缺损者,可行皮片、局部皮瓣转移等方式进行处理,并采用自行设计量表的方式进行术后瘢痕观察评价。结果：对患者随访3-9月(除3例失访外),170患者伤口无明显瘢痕增生,无明显组织移位,美容效果良好；7例患者因就诊时间长,留有较明显增生性瘢痕。结论：应重视在外伤急诊处理中的早期缝合以及美学要求,早期美容缝合可明显减少瘢痕形成,总体满意度高。
[Abstract]:Objective: to observe the effect of early cosmetic suture on patients with trauma. Methods: from September 2012 to September 2013, 180 patients with skin trauma who underwent cosmetic suture in our department were analyzed and treated with early and thorough wound expansion and cosmetic suture. The patients without skin defect could be sutured directly by fine suture. If there was skin tissue defect, the skin grafts and local skin flaps could be treated, and the postoperative scar was observed and evaluated by self-designed scale. Results: the patients were followed up for 3 to 9 months (except for 3 cases without visit). There was no obvious scar hyperplasia and no obvious tissue shift in the wound. 7 patients with good cosmetic effect had obvious hypertrophic scar because of the long visiting time. Conclusion: attention should be paid to the early suture and aesthetic requirements in the emergency treatment of trauma. Early cosmetic suture can significantly reduce scar formation and the overall satisfaction is high.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R62
本文编号：2148739
[Abstract]:Objective: to observe the effect of early cosmetic suture on patients with trauma. Methods: from September 2012 to September 2013, 180 patients with skin trauma who underwent cosmetic suture in our department were analyzed and treated with early and thorough wound expansion and cosmetic suture. The patients without skin defect could be sutured directly by fine suture. If there was skin tissue defect, the skin grafts and local skin flaps could be treated, and the postoperative scar was observed and evaluated by self-designed scale. Results: the patients were followed up for 3 to 9 months (except for 3 cases without visit). There was no obvious scar hyperplasia and no obvious tissue shift in the wound. 7 patients with good cosmetic effect had obvious hypertrophic scar because of the long visiting time. Conclusion: attention should be paid to the early suture and aesthetic requirements in the emergency treatment of trauma. Early cosmetic suture can significantly reduce scar formation and the overall satisfaction is high.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R62
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相关硕士学位论文 前1条
1 凌镜;180例外伤患者行早期美容缝合的临床效果观察[D];重庆医科大学;2015年
，本文编号：2148739
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