王昊玉

【摘 要】目的 探讨美容缝合对面部外伤创面愈合质量的影响。方法 选取2021年1月-2022年1月我院收治的100例面部外伤患者为研究对象，采取随机数字表法分为观察组与对照组，各50例，对照组采用常规清创缝合，观察组采用早期美容缝合。比较两组创面愈合效果、不良反应发生情况、术后1个月及1年瘢痕形成情况。结果 两组治疗后温哥华瘢痕量表评分均低于治疗前，且观察组低于对照组，差导有统计学意义（P<0.05）；观察组创面愈合用时短于对照组，差异有统计学意义（P<0.05）；两组治疗后10、20 d疼痛评分均低于治疗前，且观察组低于对照组，差异有统计学意义（P<0.05）；观察组术后1个月及术后1年瘢痕指数均低于对照组，差异有统计学意义（P<0.05）；观察组不良反应发生率低于对照组，差异有统计学意义（P<0.05）。结论 早期美容缝合应用于面部外伤治疗中，可有效改善创面愈合质量，加快愈合，降低术后不良反应发生率以及患者疼痛感，减少瘢痕形成，值得临床应用。

【關键词】外伤患者；早期美容缝合；血肿；术后感染

中图分类号：R626 文献标识码：A 文章编号：1004-4949（2023）08-0114-04

Application Effect of Early Cosmetic Suture in Patients with Facial Trauma

WANG Hao-yu

（Medical Cosmetology Department of Guizhou Provincial People’s Hospital， Guiyang 550499， Guizhou， China）

【Abstract】Objective To investigate the efffect of cosmetic suture on the quality of facial trauma wound healing. Methods From January 2021 to January 2022， 100 patients with facial trauma treated in our hospital were selected as the research objects. They were divided into observation group and control group by random number table method， with 50 patients in each group. The control group was treated with routine debridement and suture， and the observation group was treated with early cosmetic suture. The wound healing effect， adverse reactions， scar formation at 1 month and 1 year after operation were compared between the two groups. Results The Vancouver Scar Scale scores of the two groups after treatment were lower than those before treatment， and the observation group was lower than the control group， the differences were statistically significant （P<0.05）. the wound healing time of the observation group was shorter than that of the control group， and the difference was statistically significant （P<0.05）. The pain scores of the two groups at 10 and 20 days after treatment were lower than those before treatment， and the observation group was lower than the control group， the differences were statistically significant （P<0.05）. The scar index of the observation group was lower than that of the control group at 1 month and 1 year after operation， and the difference was statistically significant（P<0.05）. The incidence of adverse reactions in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Early cosmetic suture in the treatment of facial trauma can effectively improve the quality of wound healing， accelerate healing， reduce the incidence of postoperative adverse reactions and patients’ pain， and reduce scar formation， which is worthy of clinical application.

【Key words】Trauma patients； Early cosmetic suture； Hematoma； Postoperative infection

由于人体面部组织薄弱，受到外伤容易引起变形，也会导致面部亚单位出现畸形，且难以愈合，如眼、鼻口耳等，对患者外在美观程度造成影响，甚至引起局部功能受损[1]。瘢痕作为患者创面修复过程中必然会产生的症状，极大程度会影响到患者的面部美观程度[2]，从而影响患者心理状况。尤其是在患者就业、学习等过程中，会因为外貌问题产生各种负面情绪，影响生活质量[3]。……