改良式減張美容縫合術(shù)與清創(chuàng)縫合術(shù)對(duì)面部挫裂傷患者傷口愈合及瘢痕的影響

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Effects of Modified Tension-reducing Cosmetic Suturing and Debridement and Suturing on Wound Healing and Scar in Patients with Facial Laceration/LI Tianjin， QIU Dongliang.//Medical Innovation of China，2025，22（18）：028-031

[Abstract] Objective： To explore the effects of modified tension-reducing cosmetic suturing and debridement and suturing on wound healing and scar in patients with facial laceration.Method： A total of 96 patientswith facial lacerationadmitted to Shishi Hospital from March2O23 to August 2O24 wereselectedand divided into the modified group and the debridement group according to the random numbertable method，with 48 cases in each group.The modified group received modified tension-reducing cosmetic suturing treatment，and the debridement group received debridement andsuturing treatment.The wound healing quality，wound healing time， duration of woundedema，length ofsurgical scar andseverityofscar were compared betweenthetwo groups.Result：The wound healing quality of the modified group was better than that of the debridement group （ P <0.05）. The wound healing time，duration of wound edemaand length of surgical scar in the modified group were shorter than those in the debridement group （ P <0.05）. The each dimension score and total score of the Vancouver scar scale （VSS） in the modified group 6 months after the operation were lower than those in the debridement group （ P <0.05）. Conclusion： In the treatment of facial laceration， the modified tension-reducing cosmetic suturing has obvious advantages over debridement and suturing.It can shorten thedurationof incision edema，promote the wound healing process，and reduce the severity of scar.

[Key words] Facial contusion Modified tension-reducing cosmetic suturing Wound healing Debridement and suturing

First-author'saddress：Department ofPlasticandReconstructive Surgery，Shishi Hospital，Shishi 362700， China

doi：10.3969/j.issn.1674-4985.2025.18.007

面部挫裂傷多因撞擊、摔倒、銳器劃傷等外力所致，由于面部皮膚菲薄且皮下組織疏松，通常伴有皮膚破裂、深層組織損傷，影響患者面部美觀，嚴(yán)重時(shí)可能會(huì)出現(xiàn)張口受限、神經(jīng)功能障礙、感染等情況，造成功能障礙，影響患者心理健康[-2]。（剩余5859字）