Howard K, Simison A J M, Morris A, Bhalaik V
Orthopaedic Department, Arrowe Park Hospital, Upton, Wirral, Merseyside, UK.
J Hand Surg Eur Vol. 2009 Oct;34(5):618-20. doi: 10.1177/1753193409105728. Epub 2009 Aug 17.
After fasciectomy for Dupuytren's contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. The outcomes studied were: time spent attending to the wound at the first postoperative visit; the patient's pain score at that visit; and any complications. Wound care required significantly more time when non-absorbable sutures were used. There was no significant difference in pain scores or in complications between the two groups. We recommend the use of irradiated polyglactin 910 absorbable sutures for wound closure after fasciectomy as it saves time and resources without compromising wound healing.
在进行Dupuytren挛缩筋膜切除术后，传统上伤口是用不可吸收缝线缝合的。我们进行了一项针对59例患者的前瞻性随机研究，以比较使用辐照聚乙醇酸910可吸收缝线和不可吸收缝线进行筋膜切除术后伤口闭合的情况。所研究的结果包括：术后首次就诊时处理伤口所花费的时间；该次就诊时患者的疼痛评分；以及任何并发症。使用不可吸收缝线时，伤口护理需要显著更多的时间。两组之间在疼痛评分或并发症方面没有显著差异。我们建议在筋膜切除术后使用辐照聚乙醇酸910可吸收缝线进行伤口闭合，因为它节省时间和资源，且不影响伤口愈合。
