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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.

DOI:10.4103/ijd.IJD_402_21
PMID:35283493
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8906307/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f23/8906307/2fa13a6af89b/IJD-66-645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f23/8906307/38f89b275c86/IJD-66-645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f23/8906307/2fa13a6af89b/IJD-66-645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f23/8906307/38f89b275c86/IJD-66-645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f23/8906307/2fa13a6af89b/IJD-66-645-g002.jpg

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本文引用的文献

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In Vivo. 2019 Mar-Apr;33(2):453-464. doi: 10.21873/invivo.11494.
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Staged purse-string suture for repairing a large surgical defect on the scalp.分期荷包缝合法修复头皮巨大手术缺损
J Am Acad Dermatol. 2017 Jun;76(6):e207-e208. doi: 10.1016/j.jaad.2017.01.006.
3
Reliability and Photographic Equivalency of the Scar Cosmesis Assessment and Rating (SCAR) Scale, an Outcome Measure for Postoperative Scars.
瘢痕美观评估和分级（SCAR）量表作为术后瘢痕的一种结局测量工具，其可靠性和照片等效性。
JAMA Dermatol. 2017 Jan 1;153(1):55-60. doi: 10.1001/jamadermatol.2016.3757.
4
Values of a Patient and Observer Scar Assessment Scale to Evaluate the Facial Skin Graft Scar.患者和观察者瘢痕评估量表评估面部皮肤移植瘢痕的价值。
Ann Dermatol. 2016 Oct;28(5):615-623. doi: 10.5021/ad.2016.28.5.615. Epub 2016 Sep 30.
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Secondary Intention Healing and Purse-String Closures.二期愈合与荷包缝合
Dermatol Surg. 2015 Oct;41 Suppl 10:S178-86. doi: 10.1097/DSS.0000000000000480.
6
Purse-string suture vs second intention healing: results of a randomized, blind clinical trial.荷包缝合与二期愈合的比较：一项随机、盲法临床试验的结果。
JAMA Dermatol. 2015 Mar;151(3):265-70. doi: 10.1001/jamadermatol.2014.2313.
7
Systematic review and meta-analysis of published randomized controlled trials comparing purse-string vs conventional linear closure of the wound following ileostomy (stoma) closure.经皮内镜胃造口术与传统开腹胃造口术的随机对照研究的系统评价和荟萃分析
Gastroenterol Rep (Oxf). 2015 May;3(2):156-61. doi: 10.1093/gastro/gou038. Epub 2014 Jul 10.
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A regional survey of purse-string sutures for partial and complete closure of Mohs surgical defects.区域性缝线荷包缝合法用于 Mohs 手术缺损的部分和完全闭合的研究。
Dermatol Surg. 2014 Jun;40(6):679-85. doi: 10.1111/dsu.0000000000000011.
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Role of secondary intention healing.二期愈合的作用。
Facial Plast Surg. 2013 Oct;29(5):346-50. doi: 10.1055/s-0033-1353374. Epub 2013 Sep 13.
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