Effects of Modified Tension-reducing Cosmetic Suturing and Debridement and Suturing on Wound Healing and Scar in Patients with Facial Laceration/LI Tianjin， QIU Dongliang.//Medical Innovation of China，2025，22（18）：028-031

[Abstract] Objective： To explore the effects of modified tension-reducing cosmetic suturing and debridement and suturing on wound healing and scar in patients with facial laceration.Method： A total of 96 patientswith facial lacerationadmitted to Shishi Hospital from March2O23 to August 2O24 wereselectedand divided into the modified group and the debridement group according to the random numbertable method，with 48 cases in each group.The modified group received modified tension-reducing cosmetic suturing treatment，and the debridement group received debridement andsuturing treatment.The wound healing quality，wound healing time， duration of woundedema，length ofsurgical scar andseverityofscar were compared betweenthetwo groups.Result：The wound healing quality of the modified group was better than that of the debridement group （ P lt;0.05）. The wound healing time，duration of wound edemaand length of surgical scar in the modified group were shorter than those in the debridement group （ P lt;0.05）. The each dimension score and total score of the Vancouver scar scale （VSS） in the modified group 6 months after the operation were lower than those in the debridement group （ P lt;0.05）. Conclusion： In the treatment of facial laceration， the modified tension-reducing cosmetic suturing has obvious advantages over debridement and suturing.It can shorten thedurationof incision edema，promote the wound healing process，and reduce the severity of scar.

[Key words] Facial contusion Modified tension-reducing cosmetic suturing Wound healing Debridement and suturing

First-author'saddress：Department ofPlasticandReconstructive Surgery，Shishi Hospital，Shishi 362700， China

doi：10.3969/j.issn.1674-4985.2025.18.007

面部挫裂伤多因撞击、摔倒、锐器划伤等外力所致，由于面部皮肤菲薄且皮下组织疏松，通常伴有皮肤破裂、深层组织损伤，影响患者面部美观，严重时可能会出现张口受限、神经功能障碍、感染等情况，造成功能障碍，影响患者心理健康[-2]。传统的清创缝合术在处理面部挫裂伤时，虽能实现创面封闭，保障创口愈合，但因其主要聚焦于创口闭合，未充分考量面部皮肤独特的力学特性与美学要求，易致创口张力不均，导致在愈合过程中，瘢痕组织过度增生，常形成明显的瘢痕，特别是“蜈蚣脚”样瘢痕，影响面部美观或功能[3-4]。改良式减张美容缝合术注重美观，将伤口分为不同的层次进行逐一缝合，确保每一层的组织都对齐准确，减少错位和间隙，减轻伤口周围的张力，保持边缘平整，避免伤口边缘内陷或外翻，利于减少瘢痕形成。术中选用极细的缝合针与缝线，对组织造成的损伤相对较小，有助于减少瘢痕和针眼痕迹，并根据伤口的具体位置、方向、大小对缝合的层次和间距进行适当调整，在保证伤口愈合质量的同时，极大地提升了面部美观度[5-。本研究选择 2023年3月—2024年8月石狮市医院收治的96例面部挫裂伤患者，对比分析改良式减张美容缝合术与清创缝合术对面部挫裂伤患者伤口愈合及瘢痕的影响，以为优化临床治疗方案提供科学依据，现报道如下。

1资料与方法

1.1一般资料

选择2023年3月一2024年8月本院收治的96例面部挫裂伤患者。纳人标准：单纯面部皮肤软组织挫裂伤，有急诊清创缝合指征；……