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单纯间断缝合与拉链式外科皮肤闭合术后的转化生长因子-β表达及伤口抗张强度(体内研究)

TGF-β expression and wound tensile strength after simple interrupted suturing and zip surgical skin closure (IN VIVO study).

作者信息

Widodo Agus, Rahajoe Poerwati Soetji, Astuti Riyati Titi

机构信息

Resident of Department Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, yogyakarta, Indonesia.

Staff of Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Ann Med Surg (Lond). 2020 Aug 15;58:187-193. doi: 10.1016/j.amsu.2020.08.009. eCollection 2020 Oct.

Abstract

Primary healing occurs when both edges of the adjacent incision wound meet. To achieve primary healing, bringing the wound edges closer is generally done by suturing. At present comes one of the methods of skin incision closure without involving sutures called zip surgical skin closure. As an indicator of commonly used wound healing, tensile strength is produced by collagen that involves TGF-β in its production. This study was aimed to observe the expression of TGF-β and tensile strength of the skin incision-post wound using simple interrupted suturing or zip surgical skin closure. An experimental laboratory, this study used Sprague Dawley rats with the predetermined inclusion criteria. Thirty-six rats were applied with 3 cm-dorsal skin incisions after which they were divided into 2 groups, group 1 received simple interrupted suturing and group 2 received zip surgical skin closure. TGF-β examination was performed with BS-0086R polyclonal antibodies and wound tensile strength was observed on day 3, 7 and 14. The independent -test showed that the tensile strength of the zip surgical skin closure group was higher and was significant as observed on day 7 (p = 0.000) than that of the simple interrupted suturing group. TGF-β expression in the zip surgical skin closure group was found more numerous and significant on day 7 and 14 than that of in the simple interrupted group, (p = 0.025) and (p = 0.032) respectively. Conclusion. Skin incision-post wound healing with zip surgical skin closure is better and shows higher tensile strength and more numerous TGF-β expressions than simple interrupted suturing.

摘要

当相邻切口伤口的两边相遇时,即实现一期愈合。为实现一期愈合,通常通过缝合使伤口边缘更靠近。目前有一种不涉及缝合的皮肤切口闭合方法,称为拉链式外科皮肤闭合术。作为常用的伤口愈合指标,抗张强度由胶原蛋白产生,其产生过程涉及转化生长因子-β(TGF-β)。本研究旨在观察采用单纯间断缝合或拉链式外科皮肤闭合术时,皮肤切口术后伤口中TGF-β的表达及抗张强度。本研究为实验性实验室研究,使用符合预定纳入标准的斯普拉格-道利大鼠。36只大鼠接受3厘米背部皮肤切口,之后分为2组,第1组接受单纯间断缝合,第2组接受拉链式外科皮肤闭合术。使用BS - 0086R多克隆抗体进行TGF-β检测,并在第3天、第7天和第14天观察伤口抗张强度。独立样本t检验显示,拉链式外科皮肤闭合术组的抗张强度在第7天观察时更高且具有显著性(p = 0.000),高于单纯间断缝合组。拉链式外科皮肤闭合术组中TGF-β的表达在第7天和第14天比单纯间断缝合组更多且具有显著性,分别为(p = 0.025)和(p = 0.032)。结论:与单纯间断缝合相比,采用拉链式外科皮肤闭合术的皮肤切口术后伤口愈合更好,抗张强度更高,TGF-β表达更多。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78cf/7505902/e815f998099e/gr1.jpg

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