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医用组织胶水对面部肿物切除术后伤口愈合及瘢痕的影响OA

The Effect of Medical Tissue Adhesive on Wound Healing and Scarring after Facial Mass Excision

中文摘要英文摘要

目的:探讨面部肿物切除术后使用医用组织胶水对患者伤口愈合及瘢痕形成的影响.方法:选取2020年4月-2023年4月笔者医院收治的86例面部肿物患者,根据患者选择的治疗方法分为美容缝合组(n=41)和医用组织胶水组(n=45),比较两组治疗等候时间、治疗耗费时间、创口愈合时间、创口愈合情况、疼痛程度[视觉模拟评分法(VAS)]、瘢痕程度[患者和观察者双向瘢痕评估量表(POSAS)]、舒适度评分[舒适状况量表(General Comfort Questionnaire,GCQ)]、患者外观满意度和并发症发生情况.结果:医用组织胶水组治疗等候时间、治疗耗费时间、创口愈合时间均短于美容缝合组(P<0.05),创口愈合情况优于美容缝合组(P<0.05),VAS评分低于美容缝合组(P<0.05);医用组织胶水组OSAS评分和PSAS评分均低于美容缝合组(P<0.05);医用组织胶水组治疗后GCQ评分中生理、心理精神、环境维度、社会文化维度各项评分均高于美容缝合组(P<0.05);医用组织胶水组患者外观满意度明显高于美容缝合组(P<0.05);医用组织胶水组并发症发生率低于美容缝合组(P<0.05).结论:医用组织胶水用于面部肿物切除术后伤口可有效提升创口愈合情况,降低患者疼痛程度,提升患者舒适度和对外观的满意度,降低并发症发生率,并能改善创口愈合后瘢痕性质.

Objective To investigate the effect of medical tissue glue on wound healing and scar formation after facial tumor resection.Methods Totally 86 patients with facial tumors in the hospital were selected from April 2020 to April 2023,and were divided into cosmetic suture group(n=41)and tissue adhesive glue group(n=45)according to the treatment methods selected by the patients.The treatment waiting time,treatment time,wound healing time,wound healing status,pain degree[Visual Analogue Scale(VAS)],scar degree[Patient and Observer Scar Assessment Scale(POSAS)],comfort score[General Comfort Questionnaire(GCQ)],patient appearance satisfaction and adverse adverse complication were compared between groups.Results The treatment waiting time,treatment time and wound healing time in the tissue adhesive glue group were shorter than those in cosmetic suture group(P<0.05),and the wound healing was better than that in the cosmetic suture group(P<0.05),and the VAS score was lower(P<0.05).The OSAS score and PSAS score were lower in the tissue adhesive glue group than those in the cosmetic suture group(P<0.05).After treatment,the scores of items of physiology,psychological spirit,environmental dimension and social culture dimension of GCQ score in the tissue adhesive glue group were higher than those in the cosmetic suture group(P<0.05).The appearance satisfaction of patients in the tissue adhesive glue group was significantly higher compared with that in the cosmetic suture group(P<0.05).The incidence rates of adverse adverse complication in the tissue adhesive glue group were lower than those in the cosmetic suture group(P<0.05).Conclusion Tissue adhesive glue in the treatment of wounds after facial tumor resection can effectively improve the wound healing,reduce the degree of pain,enhance the patient comfort and appearance satisfaction,reduce the occurrence of adverse adverse complication,and effectively improve the scar properties after wound healing.

李爱梅;董玉花;熊平平;邢彩月;陈萍

南京市高淳人民医院 耳鼻咽喉科 江苏 南京 211306南京市高淳人民医院 普外科 江苏 南京 211306南京市高淳人民医院 耳鼻咽喉科 江苏 南京 211306南京市高淳人民医院 耳鼻咽喉科 江苏 南京 211306南京市高淳人民医院 眼科 江苏 南京 211306

医药卫生

医用组织胶水美容缝合面部肿物切除术伤口愈合瘢痕

medical tissue adhesivecosmetic suturefacial tumor resectionwound healingscar

《中国美容医学》 2026 (1)

42-46,5

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