[1]杨光强,韩 丹,张子茜,等.面部外伤美容缝合术的疗效观察及术后瘢痕影响因素分析[J].中国美容医学,2019,(07):72-75.
　YANG Guang-qiang,HAN Dan,ZHANG Zi-xi,et al.Observation of Curative Effect of Facial Trauma Cosmetic Suture and Analysis ofInfluencing Factors of Scar after Operation[J].Medical Aesthetics and Beauty,2019,(07):72-75.
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面部外伤美容缝合术的疗效观察及术后瘢痕影响因素分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年07期
页码:
72-75
栏目:
出版日期:
2019-07-05

文章信息/Info

Title:
Observation of Curative Effect of Facial Trauma Cosmetic Suture and Analysis of
Influencing Factors of Scar after Operation
文章编号:
1008-6455（2019）07-0072-03
作者:
杨光强1; 2; 韩 丹1; 张子茜1; 郭爱琴2; 张 键1; 赵恩兵1; 刘文丽1; 牟宽厚1; 周 艳11
Author(s):
YANG Guang-qiang1; 2; HAN Dan1; ZHANG Zi-xi1; GUO Ai-qin2; ZHANG Jian1; ZHAO En-bing1; LIU Wen-li1; MOU Kuan-hou1; ZHOU Yan1
关键词:
[关键词]美容缝合术; 面部外伤; 瘢痕; 影响因素; 受伤部位; 受伤类型
Keywords:
Key words: cosmetic suture;  facial trauma;  scar;  risk factors;  injury site;  injury type
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：总结163例面部外伤患者行美容缝合术的疗效，并对术后瘢痕的影响因素进行分析。方法：回顾笔者科室近3
年（即2016年3月-2018年9月）进行面部外伤清创美容缝合术的163例患者的病例资料，总结创口愈合质量及愈后6个月瘢
痕评分情况，并对患者性别、年龄、辛辣饮食习惯、受伤部位、外伤类型、瘢痕家族史和伴随慢性过敏性疾病的资料与瘢
痕评分进行相关性分析。结果：本组163例患者，创口甲级愈合率95.092%，术后6个月瘢痕评分5分以下占比75.46%。统
计方法采用曼-惠特尼秩和检验和Pearson相关性分析，结果显示辛辣饮食（P ＜0.05）、受伤部位（P ＜0.001）、外伤类
型（P ＜0.001）、有瘢痕家族史（P ＜0.001）和伴随慢性过敏性疾病（P ＜0.001）与瘢痕严重程度有相关性。而年龄、性
别与瘢痕增生程度的相关性不显著。结论：美容缝合术能有效促进面部外伤的理想愈合，且瘢痕较小，瘢痕严重程度与下
颌部位受伤、挫裂伤、瘢痕家族史和过敏状态密切相关，和经常进食辛辣饮食也有关，提示早期预防瘢痕对于这类患者极
其重要。

Abstract:
Abstract: Objective To summarize the effect of cosmetic suture in 163 patients with facial trauma and analyze the risk factors
of scar following surgery. Methods Retrospective analysis were used in 163 cases patients with facial trauma who were
accepted for debridement and cosmetic suture in our department from March 2016 to September 2018. Then we summarized the
quality of incision healing, evaluated the scar after 6 months, and analyzed further the correlation between gender, age, spicy
diet, injury site, trauma type, scar family history, chronic allergic diseases and scar score. Results The first wound healing rate
were 95.092%. SCAR scores (＜5) were 75.46%. Mann-Whitney U test and Pearson correlation analysis were used. Statistical
analysis showed that spicy diet (P ＜0.05), injury site (P ＜0.001), trauma type (P ＜0.001), scar family history (P ＜0.001) ,
chronic allergic diseases (P ＜0.001) were positively correlated with scar severity scores. However, there were no significant
correlations between age, sex and scar severity scores. Conclusion Cosmetic suture can effectively promote facial trauma
healing with less scar. Scar severity scores are closely related to mandibular, laceration, scar family history, allergic disease and
spicy diet, suggesting that early prevention of scar is extremely necessary in those patients.

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更新日期/Last Update: 2019-07-25