张强 冯有支 郭军 周杨 陈金芳

[摘要]目的：探讨心形缝合法联合无创皮肤吻合器在面部外伤缝合中的应用价值。方法：选取笔者医院整形美容科、颌面外科诊治的患者各45例作为研究对象，将在颌面外科单纯接受传统美容缝合的患者作为对照组，将在整形美容科接收心形缝合法联合无创皮肤吻合器联合治疗的患者作为观察组。所有手术均在无菌情况下在手术室内进行。术后6个月进行随访，对术后瘢痕宽度及患者满意度进行统计学分析。结果：术后随访6个月，观察组患者平均术后瘢痕宽度是（0.91±0.15）cm，窄于对照组的（1.08±0.26）cm，差异有统计学意义（P<0.05）。观察组患者满意度为97.78%高于对照组的82.22%，差异有统计学意义（P<0.05）。结论：心形缝合法联合无创皮肤吻合器在面部软组织损伤中的应用价值显著，可有效地降低患者术后瘢痕，大大提高患者对面部外伤缝合的满意度，值得借鉴。

[关键词]心形缝合;无创皮肤吻合器;面部软组织损伤;瘢痕

[中图分类号]R622    [文献标志码]A    [文章编号]1008-6455（2021）05-0029-03

Cosmetic Effect of Heart-shaped Suture Combined with Non-invasive Skin Stapler in the Repair of Facial Soft Tissue Injury

ZHANG Qiang，FENG You-zhi，GUO Jun，ZHOU Yang，CHEN Jin-fang

（Department of Plastic Surgery，the Affiliated Hospital of Yangzhou University，Yangzhou 225002，Jiangsu，China）

Abstract： Objective  To study the application value of heart-shaped suture combined with non-invasive skin stapler in the repair of facial soft tissue injury. Methods  A total of 90 cases of patients in plastic department （n=45） and maxillofacial department （n=45） in our hospital were selected as research objects. The patients who received traditional cosmetic suture in maxillofacial department were taken as the control group， and the patients who received heart-shaped suture combined with non-invasive skin stapler in the plastic department were taken as the observation group. All operations were performed in the operating room with aseptic prophylaxis. After 6 months follow-up， the postoperative scar width and patient satisfaction were statistically analyzed. Results  The patients were followed up for 6 months， the average postoperative scar width in the observation group was （0.91±0.15）cm， which was narrower than that in the control group （1.08±0.26）cm， the difference was statistically significant（P<0.05）. The satisfaction rate in the observation group was 97.78%， which was higher than that in the control group （82.22%， P<0.05）. Conclusion  Heart-shaped suture combined with non-invasive skin stapler has significant application value in facial soft tissue wound， which can effectively reduce postoperative scar and improve the satisfaction of patients with facial traumatic suture results. It is worth of clinical application.

Key words： heart-shaped suture; non-invasive skin stapler; facial soft tissue injury; scar

面部撕裂傷是人们到颌面外科和美容外科就诊的最常见原因之一[1]。几个世纪以来，人类一直在寻找理想的方法来缝合伤口。在此期间从胶水粘连到缝线缝合，许多创新和新奇的方法在过去曾被用来弥合伤口，但效果不是很满意[2]。现如今随着社会的进步发展和生活水准的不断提升，个人对面部形态损伤恢复更加关注。不仅对治愈度有较高的要求，同时也提出了美观度的要求。缝合是各类外科的基本操作之一，用于对齐手术切口或创伤的撕裂组织，从而促进损伤愈合。术后瘢痕是整形外科医生在处理面部创口时面临的重要挑战。传统的急诊清创缝合，由于缝合质量较差，缝线对皮肤存在不同程度的切割，很容易导致创伤后瘢痕甚至畸形，给患者带来严重的心理负担，影响他们的自信及后期的进一步治疗效果[3]。……