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[缝合的基础与方法]

[Bases and methods of suturing].

作者信息

Vogt P M, Altintas M A, Radtke C, Meyer-Marcotty M

机构信息

Klinik und Poliklinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 3, 30625 Hannover, Deutschland.

出版信息

Chirurg. 2009 May;80(5):437-44, 446-7. doi: 10.1007/s00104-009-1670-7.

DOI:10.1007/s00104-009-1670-7
PMID:19224183
Abstract

If pharmaceutic modulation of scar formation does not improve the quality of the healing process over conventional healing, the surgeon must rely on personal skill and experience. Therefore a profound knowledge of wound healing based on experimental and clinical studies supplemented by postsurgical means of scar management and basic techniques of planning incisions, careful tissue handling, and thorough knowledge of suturing remain the most important ways to avoid abnormal scarring. This review summarizes the current experimental and clinical bases of surgical scar management.

摘要

如果药物调节瘢痕形成不能比传统愈合方式改善愈合过程的质量,外科医生就必须依靠个人技能和经验。因此,基于实验和临床研究对伤口愈合有深入了解,并辅以术后瘢痕管理方法以及切口规划、精细组织处理和缝合技术等基础知识,仍然是避免异常瘢痕形成的最重要方法。本综述总结了手术瘢痕管理的当前实验和临床依据。

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2
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引用本文的文献

1
Surgical Strategies to Promote Cutaneous Healing.促进皮肤愈合的手术策略。
Med Sci (Basel). 2021 Jun 16;9(2):45. doi: 10.3390/medsci9020045.

本文引用的文献

1
Basic fibroblast growth factor reduces scar formation in acute incisional wounds.碱性成纤维细胞生长因子可减少急性切口伤口的瘢痕形成。
Wound Repair Regen. 2007 Sep-Oct;15(5):617-23. doi: 10.1111/j.1524-475X.2007.00293.x.
2
Experimental studies in swine for measurement of suture extrusion.在猪身上进行的用于测量缝线挤出的实验研究。
J Long Term Eff Med Implants. 2004;14(3):251-9. doi: 10.1615/jlongtermeffmedimplants.v14.i3.90.
3
Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial.
用于儿童手术伤口闭合的黏合剂或经皮可吸收缝线。一项前瞻性随机试验的结果。
J Pediatr Surg. 2004 Aug;39(8):1249-51. doi: 10.1016/j.jpedsurg.2004.04.013.
4
The expanded transposition flap: shifting paradigms based on experience gained from two decades of pediatric tissue expansion.扩展转位皮瓣:基于二十年小儿组织扩张经验的范式转变
Plast Reconstr Surg. 2004 Jul;114(1):98-106. doi: 10.1097/01.prs.0000127802.92515.f3.
5
Aesthetic comparison of wound closure techniques in a porcine model.猪模型中伤口闭合技术的美学比较
Laryngoscope. 2001 Nov;111(11 Pt 1):1949-51. doi: 10.1097/00005537-200111000-00014.
6
Proper handling of soft tissue in the acute phase.急性期软组织的正确处理。
Facial Plast Surg. 2001 Nov;17(4):227-38. doi: 10.1055/s-2001-18825.
7
A new suture for hair transplantation: poliglecaprone 25.一种用于毛发移植的新型缝线:聚乙交酯丙交酯共聚物25。
Dermatol Surg. 2001 Jan;27(1):5-11.
8
Suture materials and other factors associated with tissue reactivity, infection, and wound dehiscence among plastic surgery outpatients.整形外科门诊患者中与组织反应性、感染及伤口裂开相关的缝合材料和其他因素。
Plast Reconstr Surg. 2001 Jan;107(1):38-45. doi: 10.1097/00006534-200101000-00007.
9
Scars. Can they be minimised?疤痕。它们能被最小化吗?
Aust Fam Physician. 1998 Apr;27(4):275-8.
10
The role of suture material in hypertrophic scar formation: Monocryl vs. Vicryl-rapide.缝线材料在肥厚性瘢痕形成中的作用:可吸收合成缝线(Monocryl)与快速吸收合成缝线(Vicryl-rapide)的对比
Ann Plast Surg. 1997 Sep;39(3):254-60. doi: 10.1097/00000637-199709000-00006.