一项使用计算机图像分析程序评估分期荷包缝合术修复皮肤手术缺损的疗效和安全性的回顾性研究。
A retrospective study to evaluate the efficacy and safety of staged purse-string sutures for the reconstruction of surgical defects on skin using computer image analysis program.
作者信息
Seong Gi Hyun, Yeom Kyujin, Yun Dea Kwan, Choi Mi Soo, Kim Myung Hwa, Park Byung Cheol
机构信息
Human Dermatologic Clinic, Pyeongtaek, Republic of Korea.
Department of Dermatology, College of Medicine, Dankook University, Cheonan, Republic of Korea.
出版信息
Indian J Dermatol. 2021 Nov-Dec;66(6):645-648. doi: 10.4103/ijd.IJD_402_21.
BACKGROUND
Staged purse-string suturing has been recently introduced for the reconstruction of round or oval defects following tumor excision.
OBJECTIVE
The aim of this study was to evaluate the clinical advantage of staged purse-string suturing for the reconstruction of relatively large skin defects.
MATERIALS AND METHODS
Twenty-one patients who received staged purse-string sutures were included in the study. To evaluate the defects and scar sizes objectively, computer-based image analysis was used. A modified observer scar assessment scale (OSAS) was applied for evaluating the clinical efficacy.
RESULTS
The mean primary postsurgical defect size in the total 21 cases was 1446.2 ± 1187.2 mm, and the mean final scar size was about 268.1 ± 252.3 mm. The defect area decreased gradually as staged purse-string suturing was performed. The mean total modified OSAS was 7.96 ± 1.69.
CONCLUSION
Staged purse-string sutures might be an alternative reconstructive method for relatively large round or oval skin defects.
背景
分期荷包缝合术最近被引入用于肿瘤切除后圆形或椭圆形缺损的重建。
目的
本研究的目的是评估分期荷包缝合术在重建相对较大皮肤缺损方面的临床优势。
材料与方法
本研究纳入了21例行分期荷包缝合术的患者。为了客观评估缺损和瘢痕大小，采用了基于计算机的图像分析。应用改良的观察者瘢痕评估量表（OSAS）来评估临床疗效。
结果
21例患者术后初始缺损平均大小为1446.2±1187.2平方毫米，最终瘢痕平均大小约为268.1±252.3平方毫米。随着分期荷包缝合术的进行，缺损面积逐渐减小。改良OSAS总分平均为7.96±1.69。
结论
分期荷包缝合术可能是重建相对较大圆形或椭圆形皮肤缺损的一种替代重建方法。
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