[1] 王婷婷,杜 鑫,张宗敏,等. 改良美容缝合法对减轻二次剖宫产术后瘢痕增生的疗效观察[J].中国美容医学,2021,(2):83-85.
　 WANG Ting-ting,DU Xin,ZHANG Zong-min,et al. Effect of Improved Cosmetic Suture in Reducing Scar Hyperplasia after SecondCesarean Section[J].Medical Aesthetics and Beauty,2021,(2):83-85.
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 改良美容缝合法对减轻二次剖宫产术后瘢痕增生的疗效观察
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年2期
页码:
83-85
栏目:
出版日期:
2021-02-10

文章信息/Info

Title:
 Effect of Improved Cosmetic Suture in Reducing Scar Hyperplasia after Second
Cesarean Section
文章编号:
1008-6455（2021）02-0083-03
作者:
 王婷婷1; 杜 鑫2; 张宗敏2; 赵晓辉2
Author(s):
 WANG Ting-ting1; DU Xin2; ZHANG Zong-min2; ZHAO Xiao-hui2
关键词:
 [关键词]改良美容缝合法; 腹部加压; 二次剖宫产术; 瘢痕; 并发症
Keywords:
 Key words: improved cosmetic suture;  abdominal compression;  second cesarean section;  scar;  complications
分类号:
R622
文献标志码:
B
摘要:
[摘要]目的：探究改良美容缝合法联合术后加压对减轻二次剖宫产术后产妇瘢痕增生效果。方法：选取2017年1月-2019年
1月笔者医院收治的102例剖宫产后形成腹部瘢痕疙瘩并行二次剖宫产产妇，按照随机数字表法分为观察组和对照组，各51
例。观察组采用改良美容缝合法联合腹部加压治疗，对照组采用常规缝合联合加压治疗，比较两组术前和术后12个月瘢痕变
化情况、美容修复总有效率、并发症发生情况和产妇外观满意度。结果：观察组住院时间短于对照组，差异具有统计学意义
（P ＜0.05）。治疗前两组瘢痕颜色、厚度、硬度评分比较差异无统计学意义（P ＞0.05）；治疗后观察组瘢痕颜色、厚度、
硬度评分低于对照组，差异具有统计学意义（P ＜0.05）。观察组腹部美容修复总有效率、产妇外观满意率均为98.04%高于
对照组的86.27%和84.31%，差异具有统计学意义（P＜0.05）。两组术后渗液、红肿、切口裂开等并发症发生率比较差异无统计学
意义（P＞0.05）。结论：采用改良美容缝合能明显减小二次剖宫产术后腹部瘢痕严重程度，可获得较为满意的美容效果。

Abstract:
Abstract: Objective To explore the effect of improved cosmetic suture method combined with postoperative compression in
reducing scar hypertrophy after second cesarean section. Methods From January 2017 to January 2019, 102 puerpera with
postoperative abdominal keloids and second cesarean sections were enrolled and divided into the observation group and the
control group, with 51 cases each group. The observation group was treated with modified cosmetic suture combined with
abdominal compression, and the control group was treated with conventional suture combined with compression. The scar
changes, total effective rate of cosmetic repair, complications, and maternal appearance satisfaction were compared before and
1 year after treatment. Results The length of stay in the observation group was shorter than that in the control group, the
difference was statistically significant (P ＜0.05). There was no significant difference in scar color, thickness, and hardness
score between the two groups before treatment (P ＞0.05). But the scores of the observation group were lower than those
of the control group after treatment (P ＜0.05). The total effective rate of abdominal cosmetic repair and the satisfaction
rate of maternal appearance in the observation group were 98.04%, which were higher than those of the control group (86.27%
and 84.31%, P ＜0.05). There was no significant difference in the incidence of complications such as exudation, redness and
incision dehiscence (P ＞0.05). Conclusion The improved cosmetic suture can significantly lower the severity of abdominal
scars after second cesarean section and achieve a satisfactory cosmetic effect.
更新日期/Last Update: 2021-03-09