Sadick N S, D'Amelio D L, Weinstein C
Department of Dermatology, New York Hospital-North Shore University Hospital, Cornell University Medical College, New York.
J Dermatol Surg Oncol. 1994 Nov;20(11):735-9. doi: 10.1111/j.1524-4725.1994.tb03195.x.
Recent modifications of mattress suturing techniques have been reported producing rapid and effective skin eversion and excellent tensile strength while producing cosmetically elegant results.
Presented here is a new modification of the buried vertical mattress suture. Results employing this technique compared with conventional bi-layered wound closure are presented.
One hundred patients were analyzed in a double-blind randomized study where excision was carried out on benign pigmented lesions of the upper back. Fifty patients were treated by a conventional bi-layered closure technique while another 50 patients were treated by the newly described buried vertical mattress suture technique. Parameters of infection, hypertrophic scar/keloid formation, dehiscence, suture reaction, wound spread, and patient satisfaction were examined.
The modified buried vertical mattress suture technique produced less hypertrophic scar/keloid formation (2% vs 16%) as well as less wound scar spread (6% vs 24%) compared with conventional bi-layered suturing techniques. In addition, it was associated with a high degree of patient satisfaction (96%).
The modified buried dermal mattress suture technique produces excellent cosmetic results in closing elliptical excisions on thick dermal cutaneous anatomic areas under considerable wound tension. Its decreased requirement for postoperative wound care makes it an excellent alternative for patients living long distances from physician referral centers.
据报道，床垫缝合技术的最新改进能快速有效地使皮肤外翻，具有出色的抗张强度，同时产生美观的效果。
本文介绍一种改良的埋藏式垂直褥式缝合术。展示了采用该技术与传统双层伤口闭合术相比的结果。
在一项双盲随机研究中分析了100例患者，对其背部上方的良性色素沉着病变进行切除。50例患者采用传统双层闭合技术治疗，另外50例患者采用新描述的埋藏式垂直褥式缝合技术治疗。检查感染、肥厚性瘢痕/瘢痕疙瘩形成、裂开、缝线反应、伤口扩散和患者满意度等参数。
与传统双层缝合技术相比，改良的埋藏式垂直褥式缝合技术产生的肥厚性瘢痕/瘢痕疙瘩形成较少（2%对16%），伤口瘢痕扩散也较少（6%对24%）。此外，它还具有较高的患者满意度（96%）。
改良的埋藏式真皮褥式缝合技术在有相当伤口张力的厚皮解剖区域闭合椭圆形切除伤口时能产生出色的美容效果。其对术后伤口护理需求的减少使其成为居住在离医生转诊中心较远地区患者的极佳选择。
