天津医药

天津医药 ›› 2021, Vol. 49 ›› Issue (7): 765-768.doi: 10.11958/20210297

• 应用研究 • 上一篇    下一篇

Nice结与皮肤牵张器用于中小型皮肤软组织缺损治疗的临床研究

陈涛，刘莉茵，马信龙，马剑雄，余润泽，喻德富   

  1. 1安徽省第二人民医院骨科（邮编230041）；2安徽医科大学；3天津市天津医院骨科研究所
  • 收稿日期:2021-02-02 修回日期:2021-03-05 出版日期:2021-07-15 发布日期:2021-07-12
  • 作者简介:陈涛（1980），男，硕士，副主任医师，主要从事骨与关节创伤方面研究。E-mail：470732412@qq.com
  • 基金资助:
    安徽省高校科研项目（ZR2019B05）

The clinical study of Nice knot and skin distractor in the treatment of small and medium-sized skin and soft tissue defects

CHEN Tao, LIU Li-yin, MA Xin-long, MA Jian-xiong, YU Run-ze, YU De-fu   

  1. 1 Department of Othopaedics, Anhui No.2 Provincial People's Hospital, Hefei 230041, China; 2 Anhui Medical University; 3 Institute of Orthopedics, Tianjin Hospital
  • Received:2021-02-02 Revised:2021-03-05 Published:2021-07-15 Online:2021-07-12

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摘要： 目的　通过Nice结与皮肤牵张缝合器在中小型皮肤软组织缺损修复中的比较，探讨Nice结能否代替皮肤牵张器用于皮肤软组织缺损的修复。方法　选取2019年7月—2020年6月收治的外伤引起的各种中小型皮肤软组织缺损患者60例。根据治疗方式分为2组，每组30例，A组患者使用Nice结治疗，创面两侧使用敷贴弹性固定，每隔3 d收紧缝线至创面愈合；B组患者使用皮肤牵张器治疗。术后比较2组患者的手术时间、术中出血量、手术费用、愈合时间、创面愈合甲乙级率、术后14 d创面愈合率、温哥华瘢痕量表（VSS）评分和创面瘢痕优良率。结果　2组患者手术时间、术中出血量，创面愈合时间差异无统计学意义，B组患者手术费用明显高于A组（P＜0.01）；2组患者创面甲乙级愈合率、术后14 d创面愈合率、术后VSS评分和瘢痕优良率方面差异无统计学意义。结论　Nice结治疗中小型皮肤软组织缺损费用降低，对医疗条件要求低，可以代替皮肤牵张器修复中小型皮肤软组织缺损。

关键词: 软组织损伤, 伤口缝合技术, Nice结, 弹性敷贴, 皮肤牵张器, 皮肤软组织缺损, 创面愈合

Abstract: Objective　To explore whether the Nice knot can replace the skin distractor in repairing small and medium-sized skin and soft tissue defects by comparing the Nice knot with the skin distractor in the repair of small and medium-sized skin and soft tissue defects. Methods　A total of 60 patients with various small and medium sized skin and soft tissue defects were selected from July 2019 to June 2020. All of skin and soft tissue defects were caused by trauma. According to the treatment methods, the patients were divided into 2 groups, with 30 patients in each group. The patients in group A were treated with Nice knot, and both sides of the wound were fixed with elastic plaster. The suture was tightened every 3 days until the wound healed. The patients in group B were treated with a skin distractor. The operative time, amount of blood loss, operation cost, healing time, wound healing grade A and B rates, wound healing rate 14 days after surgery, VSS score and good and good rate of wound scar were compared between the 2 groups. Results　There were no significant differences in operative time, intraoperative blood loss and wound healing time between the two groups. The operative cost was significantly higher in group B than that of group A (P < 0.01). There were no statistical significances in grade A and grade B wound healing rate, wound healing rate 14 days after surgery, postoperative VSS score and good scar healing rate between the two groups. Conclusion　Nice knot in the treatment of small and medium-sized skin and soft tissue defects has lower cost and lower requirements for medical conditions. It can replace the skin distractor to repair small and medium-sized skin and soft tissue defects.

Key words: soft tissue injuries, wound closure techniques, Nice knot, elastic application, skin distractor, skin soft tissue defect, wound healing