采用渐进性张力缝合的腹壁成形术与传统腹壁成形术的比较研究：在一家三级医疗机构进行的对比研究
Abdominoplasty With Progressive Tension Sutures Versus Conventional Abdominoplasty: A Comparative Study at a Third-level Institution.
作者信息
Ledezma Rodríguez Víctor C, López Sandra A, González Ojeda Alejandro, Pérez Gómez María F, González Muñoz Samantha E, Vázquez Sánchez Sergio J, Delgado Hernández Gonzalo, Cervantes Guevara Gabino, Cervantes Pérez Enrique, Fuentes Orozco Clotilde
机构信息
From the Department of Plastic and Reconstructive Surgery, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Department Surgical Clinics, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.
Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara Jalisco México.
出版信息
Plast Reconstr Surg Glob Open. 2025 Mar 25;13(3):e6646. doi: 10.1097/GOX.0000000000006646. eCollection 2025 Mar.
BACKGROUND
Abdominoplasty is a cosmetic surgery that improves the appearance of the abdominal contour. Among the techniques used to reduce complications are progressive tension sutures (PTSs), which involve the use of sutures that fix a flap at several points to the underlying tissue.
METHODS
A nonrandomized clinical trial was performed from April 1 to November 30, 2023. Patients older than 18 years who underwent abdominoplasty were included. The variables studied were age, body mass index, comorbidities, surgical time, and postoperative complications.
RESULTS
Twenty-eight patients were included, 14 with conventional closure and 14 with PTSs closure, with a mean age of 37.6 (SD 9.1) years and 39.9 (SD 6.8) years, respectively. In the conventional closure group, 3 (21.3%) patients presented complications, 2 (14.3 %) presented seromas, and 1 (7.1%) presented wound dehiscence, whereas the PTS group did not present any complications ( = 0.067). A mean operative time of 137.8 (SD 16.6) minutes was found for conventional closure and 167 (SD 12.0) minutes for PTS closure ( ≤ 0.001).
CONCLUSIONS
Our study showed that the technique with PTS did not present complications compared with the conventional closure. Our results are comparable with the literature.
背景
腹壁成形术是一种改善腹部轮廓外观的整形手术。用于减少并发症的技术包括渐进性张力缝合（PTS），即使用缝线在多个点将皮瓣固定于深层组织。
方法
于2023年4月1日至11月30日进行了一项非随机临床试验。纳入年龄大于18岁且接受腹壁成形术的患者。研究的变量包括年龄、体重指数、合并症、手术时间和术后并发症。
结果
共纳入28例患者，14例行传统缝合，14例行PTS缝合，平均年龄分别为37.6（标准差9.1）岁和39.9（标准差6.8）岁。在传统缝合组中，3例（21.3%）患者出现并发症，2例（14.3%）出现血清肿，1例（7.1%）出现伤口裂开，而PTS组未出现任何并发症（P = 0.067）。传统缝合的平均手术时间为137.8（标准差16.6）分钟，PTS缝合为167（标准差12.0）分钟（P≤0.001）。
结论
我们的研究表明，与传统缝合相比，PTS技术未出现并发症。我们的结果与文献报道相当。
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