手术拉链技术的结果。
Outcome of surgical zipper technique.
作者信息
Onuminya John E, Alufohai Ewan, Onuminya Dorcas S
机构信息
Department of Orthopaedics & Traumatology, Faculty of Clinical Sciences, College of Medicine, Ambrose Alli University, Ekpoma, PMB 14, Ekpoma, Edo State, Nigeria.
出版信息
J Natl Med Assoc. 2006 Jan;98(1):83-5.
In the period between March 2003 and February 2005, we carried out a randomized controlled prospective study to evaluate the outcome of the surgical zipper technique in closing 50 clean surgical skin wounds in our centers. The gender, age and wound distribution were similar for the surgical zipper study group and the conventional nylon suture control group. The outcome of scar was rated as good if the emerging scar was a thin, linear (< 2 mm wide) scar and bad if it was a broad, flat (> 2 mm wide) or a heap-up scar. The outcome of scar was good in 43 (86%) in the study group as compared with 21 (42%) in the conventional control group. The observed difference between the two groups was statistically significant (p < 0.05). We observed superficial wound infection in two (4%) in the study group, compared with 12 (24%) in the conventional control group. The outcome of our study clearly showed that the surgical zipper is a superior technique of closing surgical skin wounds, and we recommend its use in our environment.
在2003年3月至2005年2月期间，我们开展了一项随机对照前瞻性研究，以评估手术拉链技术在我们中心闭合50例清洁手术皮肤伤口的效果。手术拉链研究组和传统尼龙缝线对照组在性别、年龄和伤口分布方面相似。如果新生瘢痕为薄的线性（宽度<2mm）瘢痕，则瘢痕结局评定为良好；如果是宽的扁平（宽度>2mm）瘢痕或增生性瘢痕，则评定为不良。研究组43例（86%）瘢痕结局良好，而传统对照组为21例（42%）。两组间观察到的差异具有统计学意义（p<0.05）。我们观察到研究组有2例（4%）发生浅表伤口感染，而传统对照组为12例（24%）。我们的研究结果清楚地表明，手术拉链是闭合手术皮肤伤口的一种更优技术，我们建议在我们的环境中使用该技术。
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