Cassileth B R, Lusk E J, Tenaglia A N
Plast Reconstr Surg. 1983 Jan;71(1):73-5. doi: 10.1097/00006534-198301000-00016.
This study investigated the relationship between primary versus grafted closure for melanoma and the cosmetic impact on the patient of the resulting scar. A total of 176 patients with melanoma completed a multiple-choice questionnaire designed for this study. Two factors were significantly related to negative cosmetic impact: severity of scar indentation (but not scar length) and the extent to which patients were unprepared for the actual size of their scars. Patients whose scars were deeply indented as well as those whose scars were larger than anticipated displayed greatest distress about their appearance. Cosmetic impact was greater for women than for men. These observations suggest that primary closures, rather than closures requiring skin grafts, have important psychological benefits for patients and that physicians can assist postoperative adjustment by giving patients accurate information about the expected appearance of their scars.
本研究调查了黑色素瘤一期缝合与植皮缝合之间的关系，以及由此产生的疤痕对患者的美容影响。共有176例黑色素瘤患者完成了为此项研究设计的多项选择题问卷。有两个因素与负面美容影响显著相关：疤痕凹陷的严重程度（而非疤痕长度）以及患者对其疤痕实际大小未做好准备的程度。疤痕深深凹陷的患者以及疤痕比预期大的患者对自己的外表表现出最大的苦恼。女性的美容影响大于男性。这些观察结果表明，一期缝合而非需要植皮的缝合对患者具有重要的心理益处，并且医生可以通过向患者提供有关其疤痕预期外观的准确信息来帮助患者进行术后调整。
