Shamiyeh A, Schrenk P, Stelzer T, Wayand W U
Second Surgical Department and Ludwig Boltzmann Institute for Surgical Laparoscopy, Linz, Austria.
Dermatol Surg. 2001 Oct;27(10):877-80. doi: 10.1046/j.1524-4725.2001.01111.x.
The patient's view of the outcome after phlebectomy is mainly dependent on the cosmetic result.
To compare 5-0 monofilament sutures with tapes and tissue adhesive for wound closure after varicose vein surgery.
Seventy-nine patients undergoing varicose vein surgery were prospectively randomized in three groups (tissue adhesive, sutures, tape) for skin closure and compared. The follow-up 1 year postoperatively was done by a senior dermatologist who was blinded in the method of skin closure.
The cosmetic outcome showed little advantage for the suture group. Taping the incisions is faster than suturing them but without significance; closure with tissue adhesive takes nearly the double of time. The closure for one incision with tissue adhesive is 40 times more expensive than with tapes and 14 times more expensive than with sutures.
This study failed to demonstrate an advantage of tissue adhesive and tapes over monofilament sutures for skin closure after phlebectomy.
患者对静脉切除术结果的看法主要取决于美容效果。
比较5-0单丝缝线与胶带和组织粘合剂在静脉曲张手术后伤口闭合中的应用。
79例接受静脉曲张手术的患者被前瞻性随机分为三组（组织粘合剂、缝线、胶带）进行皮肤闭合，并进行比较。术后1年的随访由一位资深皮肤科医生进行，该医生对皮肤闭合方法不知情。
美容效果显示缝线组优势不明显。用胶带粘贴切口比缝合切口更快，但无显著差异；用组织粘合剂闭合所需时间几乎是前者的两倍。用组织粘合剂闭合一个切口的费用比用胶带贵40倍，比用缝线贵14倍。
本研究未能证明在静脉切除术后皮肤闭合方面，组织粘合剂和胶带比单丝缝线有优势。
