Gallagher P, Freeman J B
Can J Surg. 1984 Nov;27(6):594-7.
For many years Michel clips (Down Surgical, Mississauga, Ont.) have been used to close wounds and results have been good, but several newer clips are now available (e.g., Proximate; Ethicon Sutures Ltd.), which are said to be easier to use and produce a better scar. However, they are much more expensive. The authors carried out a prospective controlled study in which 30 patients with abdominal incisions had half of the skin incision closed with Michel clips and the other half with Proximate clips. They assessed ease of insertion and removal, and appearance of the wound immediately after removal and 2 months later. Ethicon Proximate clips were, in general, slightly easier to insert, less uncomfortable to remove in 8 of the 30 patients and gave a better immediate cosmetic result in 9 patients. However, there was no difference in the appearance of the wound 2 months later. The authors do not consider that Ethicon Proximate clips offer an advantage over the much less expensive Michel clips.
多年来，米歇尔夹（唐恩外科器械公司，安大略省密西沙加市）一直用于伤口闭合，效果良好，但现在有几种更新的夹子可供使用（例如，近端夹；爱惜康缝线有限公司），据说这些夹子使用起来更方便，能产生更好的瘢痕。然而，它们的价格要贵得多。作者进行了一项前瞻性对照研究，30例腹部切口患者的皮肤切口一半用米歇尔夹闭合，另一半用近端夹闭合。他们评估了夹子插入和移除的难易程度，以及移除后即刻和2个月后的伤口外观。总体而言，爱惜康近端夹插入时稍容易一些，30例患者中有8例移除时不适感较轻，9例患者移除后即刻的美容效果更好。然而，2个月后伤口外观并无差异。作者认为，爱惜康近端夹并不比便宜得多的米歇尔夹更具优势。
