O'Broin E S, O'Donnell M, O'Donovan D, Tiernan E, Lawlor D L, Eadie P A
National Burns Unit, St James's Hospital, Dublin, Ireland.
Br J Plast Surg. 1996 Oct;49(7):485-7. doi: 10.1016/s0007-1226(96)90038-7.
Skin stapling devices are a quick, effective method for securing skin grafts in burns patients. Removal of staples can be painful, often requiring a general anaesthetic. This problem has led to the recent development of absorbable staples which extrude with time. A prospective controlled clinical trial was performed on 20 burns patients comparing absorbable skin tacks with stainless steel staples. An area of at least 50 cm2 was grafted in each patient, half of which was secured with absorbable tacks and half with stainless steel staples. Each patient therefore acted as his/her own control. The presence of infection, haematoma and graft take using a grided cellophane sheet were assessed at one week. Infection and excess scarring at tack sites were assessed at one month. A statistically significant difference was not found between either group. In our hands absorbable skin staples have proven to be a reliable method of securing skin grafts.
皮肤缝合器械是烧伤患者固定皮肤移植的一种快速、有效的方法。拆除缝合钉可能会很疼，通常需要全身麻醉。这个问题促使了可吸收缝合钉的近期发展，这种缝合钉会随着时间推移而排出体外。对20名烧伤患者进行了一项前瞻性对照临床试验，比较可吸收皮肤钉与不锈钢缝合钉。每位患者至少移植50平方厘米的皮肤，其中一半用可吸收钉固定，另一半用不锈钢缝合钉固定。因此，每位患者都作为自己的对照。在一周时评估使用方格玻璃纸评估感染、血肿和移植皮肤的存活情况。在一个月时评估钉合部位的感染和过度瘢痕形成情况。两组之间未发现统计学上的显著差异。在我们的操作中，可吸收皮肤缝合钉已被证明是固定皮肤移植的可靠方法。
