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不同年龄组皮肤缝合中缝线间距对美学和功能结果的评估。

The assessment of suture spacing on the esthetic and functional outcomes of skin closures in different age groups.

作者信息

Pazyar Nader, Movahedyan Maryam, Yaghoobi Reza, Haghighizadeh Mohammad Hosein

机构信息

Faculty of Dermatology Department Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.

Dermatology Department, Emam Hospital, School of Medicine Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.

出版信息

Health Sci Rep. 2023 Apr 13;6(4):e1201. doi: 10.1002/hsr2.1201. eCollection 2023 Apr.

DOI:10.1002/hsr2.1201
PMID:37064324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10098442/
Abstract

BACKGROUND AND AIMS

Dermatological surgeons must master the factors affecting wound healing. Suturing is the most common method of wound closure. One of the significant factors in suturing that affects wound healing and cosmetic results is the distance between sutures, which has been studied very little to date. The aim of the current study was to investigate the effect of simple interrupted suture with a distance of 2 and 5 mm on the esthetic and functional results of suture closure in different age groups.

METHODS

In patients with two skin lesions, one wound was sutured with a distance of 2 mm and the other with a distance of 5 mm, and the wounds were evaluated 1 and 3 months after the operation using the POSAS scale.

RESULTS

Patients' opinions indicate that, in the suture intervals of 2- and 5-mm and at 1 and 3 months, the average was lower in the younger group than it was in the older group and also, as per the physician's opinion, the average in the age group under 50 years was significantly lower than that in the age group over 50 years.

CONCLUSIONS

According to the results of the present study, a suture of 2-mm and a suture of 5-mm would result in different esthetic and functional outcomes depending on the patient's age. The average in the age group less than 50 years was significantly lower than that of the age group greater than 50 years.

摘要

背景与目的

皮肤科外科医生必须掌握影响伤口愈合的因素。缝合是伤口闭合最常用的方法。缝合中影响伤口愈合和美容效果的一个重要因素是缝线间距,目前对此研究甚少。本研究的目的是探讨间距为2毫米和5毫米的单纯间断缝合对不同年龄组缝合闭合的美学和功能效果的影响。

方法

对于有两处皮肤损伤的患者,一处伤口以2毫米的间距缝合,另一处伤口以5毫米的间距缝合,术后1个月和3个月使用POSAS量表对伤口进行评估。

结果

患者的意见表明,在2毫米和5毫米的缝线间距下,术后1个月和3个月时,年轻组的平均值低于老年组,而且根据医生的意见,50岁以下年龄组的平均值显著低于50岁以上年龄组。

结论

根据本研究结果,2毫米和5毫米的缝合会根据患者年龄产生不同的美学和功能结果。50岁以下年龄组的平均值显著低于50岁以上年龄组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/52f92d9bebd7/HSR2-6-e1201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/c8d5e9e66cb7/HSR2-6-e1201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/97448f4aa5b3/HSR2-6-e1201-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/d12b674a7572/HSR2-6-e1201-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/52f92d9bebd7/HSR2-6-e1201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/c8d5e9e66cb7/HSR2-6-e1201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/97448f4aa5b3/HSR2-6-e1201-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/d12b674a7572/HSR2-6-e1201-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2790/10098442/52f92d9bebd7/HSR2-6-e1201-g001.jpg

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