[1]曹静玲,张晓妍,朱英宏.个性化美容缝合改善剖宫产术后瘢痕的疗效观察[J].中国美容医学,2023,(2):66-70.
 CAO Jingling,ZHANG Xiaoyan,ZHU Yinghong.Effect of Personalized Cosmetic Suture on Scar after Cesarean Section[J].Medical Aesthetics and Beauty,2023,(2):66-70.
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个性化美容缝合改善剖宫产术后瘢痕的疗效观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年2期
页码:
66-70
栏目:
出版日期:
2023-02-10

文章信息/Info

Title:
Effect of Personalized Cosmetic Suture on Scar after Cesarean Section
文章编号:
1008-6455(2023)02-0067-04
作者:
曹静玲1 张晓妍2 朱英宏3
(1.齐河县人民医院妇一科 山东 德州 251100 ;2.齐河县人民医院政策法规科 山东 德州 251100 ;3.济南市人民医院妇科 山东 济南 250013 )
Author(s):
CAO Jingling1 ZHANG Xiaoyan2 ZHU Yinghong3
(1.The First Department of Gynaecology,People’s Hospital of Qihe County,Dezhou 251100,Shandong,China;2.Policy and Regulation Section,People’s Hospital of Qihe County,Dezhou 251100,Shandong,China;3.Department of Gynaecology,Jinan People’s Hospital,Jinan 250013,Shandong,China)
关键词:
美容缝合剖宫产切口愈合瘢痕增生疼痛程度不良反应
Keywords:
cosmetic suture cesarean section incision healing scar hyperplasia degree of pain adverse reactions
分类号:
R619+ .6
文献标志码:
A
摘要:
目的:研究个性化美容缝合术对剖宫产术后瘢痕的改善作用。方法:回顾性分析笔者医院2019年1月-2021年1月收治 的剖宫产产妇72例进行研究,按缝合方式不同分为两组,各36例。对照组采取常规缝合术,研究组实施美容缝合术,观察 两组切口长度、缝合时长、愈合时间、瘢痕宽度、瘢痕最薄厚度、住院时间、视觉模拟量表(Visual analogue scale, VAS )评分、温哥华瘢痕量表(Vancouver scar scale,VSS)评分、观察者瘢痕评估量表(observer scar assessment scale,OSAS)评分、患者瘢痕评估量表(Patient scar assessment scale,PSAS)评分及不良反应情况。结果:两组 切口长度比较差异无统计学意义(P>0.05)。研究组缝合时长、愈合时间、瘢痕宽度、住院时间短于对照组,瘢痕最薄 厚度少于对照组,差异有统计学意义(P<0.05)。术后7 d两组VAS、VSS评分比较差异无统计学意义(P>0.05);术后2 个月研究组VAS、VSS评分低于对照组,差异有统计学意义(P<0.05)。两组OSAS评分中疼痛程度、软硬度评分比较差异 无统计学意义(P>0.05);研究组OSAS评分中瘙痒程度、色泽差异、厚薄程度、平整程度评分均低于对照组,差异有统计 学意义(P<0.05)。两组PSAS评分中色素沉着、柔韧度评分比较差异无统计学意义(P>0.05);研究组PSAS评分中表面平 整度、表面积评分低于对照组,差异有统计学意义(P<0.05)。研究组切口渗液、线结反应、皮肤红肿及切口瘢痕增生发 生率均低于对照组,差异有统计学意义(P<0.05)。结论:个性化美容缝合术能够预防剖宫产术后瘢痕增生,改善切口愈 合情况,术后疼痛较轻,且术后不良反应较少,值得应用。
Abstract:
Objective To study the eff ect of personalized cosmetic suture on scar after cesarean section. Methods A retrospective analysis was made on 72 cases of cesarean section pregnant women in our hospital from January 2019 to January 2021. According to diff erent suture methods, they were divided into two groups, with 36 cases in each group. The control group wastreated with conventional suture, and the study group was treated with cosmetic suture. The incision length,suture time, healing time, scar width, thinnest scar thickness, hospital stay, visual analogue scale(VAS), Vancouver scar scale(VSS), Observer scar assessment scale(OSAS), Patient scar score scale(PSAS) scores and adverse reactions. Results There was no signifi cant diff erence in incision length between the two groups (P >0.05). The suture time, healing time, scar width and hospitalization time of the study group were shorter than those of the control group, and the thinnest thickness of the scar was less than that of the control group, the diff erences were statistically signifi cant (P <0.05). There were no signifi cant diff erence in VAS and VSS scores between the two groups 7 days after operation (P >0.05). VAS and VSS scores in the study group were lower than those in the control group 2 months after operation (P<0.05). There were no signifi cant diff erence between the two groups in pain degree and soft hardness scores in OSAS scores (P >0.05). In the OSAS score of the study group, the itching degree, color diff erence, thickness and fl atness were lower than those of the control group (P <0.05). There were no signifi cant diff erence between the two groups in PSAS scores of pigmentation and fl exibility (P >0.05). The PSAS score of the study group were lower than that of the control group in surface evenness and surface area (P<0.05). The incidence of incision exudation, suture knot reaction, skin redness and wound scar hyperplasia in the study group were lower than that in the control group (P<0.05). Conclusion Personalized cosmetic suture can prevent scar hyperplasia after cesarean section,improve incision healing, reduce postoperative pain and less postoperative adverse reactions, which is worthy of application.

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更新日期/Last Update: 2023-03-06