改良垂直埋没褥式缝合在乳房切口中的应用效果观察<br />-《中国美容医学》

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Title:: Application of the Modified Buried Vertical Mattress Suture in Mammary Incision

文章编号:: 1008-6455（2019）04-0120-05

作者:: 刘宗辉¹; 舒茂国²; 刘翔宇²; 崔风强³; 杨玉庆³; 巫姜³

Author(s):: LIU Zong-hui1; SHU Mao-guo2; LIU Xiang-yu2; CUI Feng-qiang3; YANG Yu-qing3; WU Jiang3

关键词:: [关键词]乳腺包块切除术; 乳房切口; 改良的垂直埋没褥式缝合; 皮内埋没缝合; 瘢痕

Keywords:: Key words: lumpectomy; mammary incision; modified buried vertical mattress suture; buried intradermal suture; scar

分类号:: R622

文献标志码:: A

摘要:: [摘要]目的：探讨改良垂直埋没褥式缝合在乳房切口缝合中的应用效果。方法：收集2017年4月-2017年9月以“乳腺包块”
就诊的患者资料，以手术切口为研究对象，根据缝合方式不同分成两组，BIS组行皮内埋没缝合（buried intradermal
suture , BIS），WE-MBVMS组行楔形切除结合改良埋没垂直褥式缝合（wedge-shaped excision and modified buried
vertical mattress suture, WE-MBVMS），分析对比两组的基本信息、术后切口即刻的外貌特征、随访期间的并发症发生
率以及术后3个月的瘢痕评分状况。结果：最终纳入患者共92例，切口96个。两组患者均为亚洲女性，均无抽烟及酗酒史，
术后病理显示均为良性包块，年龄层次、切口长度及部位比较，差异无统计学意义（P ＞0.05）。WE-MBVMS组术后即刻外
翻高度(4.65±0.92)mm明显大于BIS组(0.98±0.55)mm，差异有统计学意义（P ＜0.05）。WE-MBVMS组并发症发生率为2.2%
（1/46）低于BIS组（8.0%，4/50），但组间比较差异无统计学意义（P ＞0.05）。POSAS评分及VSS评分显示，WE-MBVMS较
BIS可获得更好的满意度，WE-MBVMS较BIS可获得更窄的瘢痕，差异有统计学意义（P ＜0.05）。但两组VAS评分比较，差异无
统计学意义（P ＞0.05）。结论：WE-MBVMS可更好地实现切口外翻，术后3个月的瘢痕评价优于BIS，故WE-MBVMS在乳房切口
的应用可获得更令人满意的愈合效果。

Abstract:: Abstract: Objective The purpose of the study is to compare the cosmetic results of WE-MBVMS with the BIS in mammary
incisions. Methods The clinical information were collected from those patients who had mammary gland tumors and
had received treatment from hospital during April 2017 to September 2017. Incisions after the lumpectomy were selected
as research objects. After sorting all of information into two groups by different suture techiques, WE-MBVMS or BIS, the
compared parameters will be the basic information of patients, the maximum degree of incision eversion achieved immediately
postoperatively, complication rates, and the scores of the scar over the 3-month follow-up period. Results Finally 92 patients and
96 incisions had been made a detailed analysis. Both groups of patients were Asian women and had no history of smoking and
alcoholism. The pathological results of lumps were benign. There was no significant difference in age, incision length and location
between the two groups(P＞0.05). The height of valgus in WE-MBVMS group was (4.65±0.92)mm immediately after operation,
which was significantly higher than that in BIS group(0.98±0.55)mm, the difference was statistically significant(P ＜0.05). The
incidence of complications in WE-MBVMS group was 2.2% (1/46) lower than that in BIS group (8.0%, 4/50), but there was no
significant difference between the two groups(P＞0.05). Total POSAS and VSS scores in WE-MBVMS group were significantly
lower than those in BIS group (P＜0.05). The width of scar in WE-MBVMS group was significantly lower than that in BIS group
(P＜0.05). However, there was no significant difference in VAS score between the two groups(P＞0.05). Conclusion The WEMBVMS
provided superior wound eversion and better aesthetic outcomes than the BIS,and deserved clinical promotion.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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