组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2022, Vol. 18 ›› Issue (5): 406-.

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不同缝线对肉芽肿性小叶性乳腺炎术后伤口愈合及美学效果的影响

  

  • 出版日期:2022-10-01 发布日期:2022-11-07

Effect of different surgical suture on wound healing and aesthetic effect of granulomatous lobular mastitis

  • Online:2022-10-01 Published:2022-11-07

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摘要： 目的　探索不同缝线对肉芽肿性小叶性乳腺炎术后伤口愈合及美学效果的影响。方法　选取2018年1月至2021年1月收治的168例肉芽肿性小叶性乳腺炎患者，根据不同的缝线种类随机分为慕丝线组、可吸收线组以及颂宁组，每组56例。比较三组术后7 d和14 d时的线结反应情况、切口愈合时间、愈合等级、切口愈合相关并发症等，并比较三组患者对切口缝合的美学满意度。结果　术后7 d和14 d时，颂宁组线结反应Ⅲ度为14.28%和8.9%，明显低于可吸收线组（41.07%、30.35%）和慕丝线组（35.71%、26.78%），差异有统计学意义（P=0.005；P=0.014）；慕丝线组、可吸收线组及颂宁组术后切口愈合时间分别为（7.4±1.43） d、（7.3±1.88） d及（6.9±0.88） d，三组差异无统计学意义（P=0.722）。三组术后切口愈合等级无明显差异（P=0.055）。慕丝线组、可吸收线组及颂宁组的切口并发症发生率分别为60.71%、28.57%、14.28%，颂宁组术后并发症发生率低于慕斯线组（P=0.000）；慕丝线组、可吸收线组及颂宁组患者总满意率分别为78.57%、80.35%、92.85%，颂宁组总满意率高于慕斯线组，差异有统计学意义（P=0.031）。结论　颂宁作为医用外科缝线应用于肉芽肿性小叶性乳腺炎可获得更好的美学效果及切口愈合效果，降低切口愈合相关并发症率；对于张力大的切口，在分层缝合时可三种缝线组合使用。

关键词: 肉芽肿性小叶性乳腺炎, 　缝线, 　美学效果

Abstract: Objective　To explore the effect of different surgical suture on wound healing and aesthetic effect of granulomatous lobular mastitis (GLM). Methods　From January 2018 to January 2021, 168 patients with granulomatous lobular mastitis were randomly divided into mousse thread group, absorbable thread group and Songning group according to different types of surgical suture, with 56 patients in each group. The thread knot response at 7 and 14 days after operation, wound healing time, healing grade, wound healing related complications of the three groups were compared, and the satisfaction of the three groups with wound suture aesthetics was compared. Results　The rate of Ⅲ degree of thread knot reaction in Songning group (14.28%, 8.9%) was significantly lower than that in absorbable thread group(41.07%, 30.35%) and mousse thread group (35.71%, 26.78%) at 7 and 14 days after operation, and the difference was statistically significant (P=0.005; P=0.014); The healing time of incision in the mousse thread group, absorbable thread group and Songning group was (7.4±1.43) d, (7.3±1.88) d and (6.9±0.88) d, respectively, and there was no significant difference among the three groups (P=0.722). There was no significant difference in wound healing grade among the three groups (P=0.055). The incidence of incision complications in mousse thread group, absorbable thread group and Songning group was 60.71%, 28.57% and 14.28%, respectively. The incidence of postoperative complications in Songning group was lower than that in mousse thread group (P=0.000). The total satisfaction rate of patients in the mousse thread group, absorbable thread group and Songning group was 78.57%, 80.35% and 92.85%, respectively. The total satisfaction rate of Songning group was higher than that of mousse thread group, and the difference was statistically significant (P=0.031). Conclusion　Songning used as surgical suture in GLM can obtain better aesthetic effect and wound healing effect, and reduce the rate of wound healing related complications. For the incision with large tension, it is recommended to use three kinds of sutures in combination for layered sutures.

Key words: Granulomatous lobular mastitis, 　Suture, 　Aesthetic effect