与缝线相比，使用组织粘合剂修复颏部裂伤在儿童中引起的并发症。

Complications following chin laceration reparation using tissue adhesive compared to suture in children.

机构信息

Department of Paediatrics Emergency Medicine, CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada.

Faculty of Medicine Université de Montréal, Montréal, Qc, Canada.

出版信息

Injury. 2019 Apr;50(4):903-907. doi: 10.1016/j.injury.2019.03.047. Epub 2019 Mar 29.

DOI:10.1016/j.injury.2019.03.047

PMID:30961924

Abstract

BACKGROUND

Tissue adhesive is widely used in the emergency department to repair minor lacerations but there exists a debate as to whether it should be used for chin lacerations. The main objective of this study was to evaluate the rate of wound dehiscence of chin lacerations repaired with tissue adhesive in comparison to sutures.

METHODS

This was a retrospective chart review including all children requiring a facial laceration reparation in a single tertiary care paediatric hospital. The primary outcome was wound dehiscence in the 30 days following reparation, comparing the use of tissue adhesive and sutures. The independent variable of interest was the use of tissue adhesive vs suture. A random sample of charts was reviewed in duplicate to insure reliability of the chart review.

RESULTS

Among the 2044 children presenting with a facial laceration requiring an intervention, 1804 (88%) were repaired using tissue adhesive. The laceration was located on the chin in 360 (18%) of patients. The use of tissue adhesive was not statistically associated with a higher risk of dehiscence for all facial lacerations (difference: 0.2; 95%CI: -1.9 to 0.8%), nor for chin lacerations (difference 2.2%; 95%CI: -7.5 to 4.4%). However, the probability of dehiscence was higher for chin laceration in comparison to other localizations (difference of 1.6%; 95%CI: 0.5-3.6%).

CONCLUSION

While the rate of dehiscence was higher for chin lacerations compared to other facial localizations, the risk of dehiscence was not statistically different for chin laceration repaired with tissue adhesive or sutures.

摘要

背景

组织粘合剂在急诊科被广泛用于修复小的撕裂伤，但对于是否应将其用于颏部撕裂伤仍存在争议。本研究的主要目的是评估与缝线相比，使用组织粘合剂修复颏部撕裂伤的伤口裂开率。

方法

这是一项回顾性图表审查，包括在一家三级儿科医院接受面部裂伤修复的所有儿童。主要结局是修复后 30 天内的伤口裂开，比较使用组织粘合剂和缝线的情况。感兴趣的独立变量是使用组织粘合剂与缝线。对图表进行了随机抽样复查，以确保图表复查的可靠性。

结果

在 2044 名因面部裂伤需干预而就诊的儿童中，1804 名（88%）使用组织粘合剂修复。360 名（18%）患者的裂伤位于颏部。对于所有面部裂伤（差异：0.2；95%CI：-1.9 至 0.8%），以及颏部裂伤（差异 2.2%；95%CI：-7.5 至 4.4%），使用组织粘合剂与更高的裂开风险无关。然而，与其他部位相比，颏部裂伤的裂开概率更高（差异 1.6%；95%CI：0.5-3.6%）。