在全膝关节置换术中，拉链式皮肤缝合器与传统的缝合钉相比，伤口愈合情况更好吗？
Do zip-type skin-closing devices show better wound status compared to conventional staple devices in total knee arthroplasty?
机构信息
Department of Orthopaedic Surgery, Yonsei University, College of Medicine, Seoul, Korea.
Department of Traumatology, Neurosurgery, and Military Field Surgery, Samarkand State Medical Institute, Samarqand, Uzbekistan.
出版信息
Int Wound J. 2017 Feb;14(1):250-254. doi: 10.1111/iwj.12596. Epub 2016 Mar 28.
Abstract
This study compared the pain score, cosmetic outcome and wound complication rate between zip-type skin-closing device and conventional staple device. Forty-five subjects with zip-type skin-closing device (the zip group) and 45 subjects with the conventional staple device (the staple group) after total knee arthroplasty were compared. Visual analogue scale score was significantly higher on postoperative (PO) 1, 3, 14 day (D) in the staple group compared to the zip group (P < 0·05). The Vancouver scar score was significantly better in the zip group compared to that of the staple group (4·6 ± 0·7 versus 6·9 ± 1·3, P = 0·043) on PO 90D. There was no significant wound complication rate between the two groups. The zip-type skin-closing device showed less pain PO 14D, especially during dressing and removal of the device, and better cosmetic outcome 3 months after surgeries. Surgeons may consider using the zip-type skin-closing device for patients who want less pain and better cosmetic outcome.
摘要
本研究比较了 Zip 型皮肤闭合装置和传统钉合器在疼痛评分、美容效果和伤口并发症发生率方面的差异。共有 45 例接受全膝关节置换术的患者使用 Zip 型皮肤闭合装置（Zip 组），45 例使用传统钉合器（钉合组）。与 Zip 组相比，钉合组术后 1、3、14 天（D）的视觉模拟评分（VAS）显著更高（P < 0.05）。Zip 组温哥华瘢痕评分在术后 90 天（PO）显著优于钉合组（4.6 ± 0.7 比 6.9 ± 1.3，P = 0.043）。两组的伤口并发症发生率无显著差异。Zip 型皮肤闭合装置在术后 14 天，尤其是在更换敷料和去除装置时，疼痛程度较低，术后 3 个月美容效果更好。对于希望减轻疼痛和获得更好美容效果的患者，外科医生可以考虑使用 Zip 型皮肤闭合装置。
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