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拉皮
縫一層還是縫二層?
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plasticsuper
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註冊時間: 2005-08-04
文章: 623
來自: 台北

發表 發表於: 星期一 八月 08, 2005 1:13 pm
發表 文章主題: 縫一層還是縫二層?
引言回覆

對於臉部意外割傷,縫一層的傷口好看還是縫二層呢 ?

根據 PRS 2005;116:363-368 的報告指出,二者的最後結果沒有什麼差別

Single-Layer versus Double-Layer Closure of Facial Lacerations: A Randomized Controlled Trial

Background: The objective of this study was to compare the cosmetic outcome of facial lacerations closed with a single or double layer of sutures.

Methods: Patients aged 1 year or older presenting to a university-based emergency department with nongaping (width, <10 mm), simple, nonbite, facial lacerations were randomized to closure with a single layer of simple interrupted 6-0 polypropylene sutures or a double layer of simple interrupted 6-0 polypropylene plus inverted deep dermal 5-0 polyglactin sutures. At 90 days, the scar width and cosmetic appearance were determined using a validated 100-mm visual analogue scale ranging from 0 (worst) to 100 (best) and a validated wound evaluation score ranging from 0 (worst) to 6 (best).

Results: Sixty-five patients were randomized to single-layer (n = 32) or double-layer (n = 33) closure. Mean age (SD) was 18.5 years (20.0), and 14 percent were female. Groups were similar in baseline patient and wound characteristics. Length of single-layer closure was 7 minutes shorter (95 percent CI, 2 to 11 minutes) than double-layer closure. There were no infections or dehiscences in either group. There were no between-group differences in patient (mean difference, 0.5 mm; 95 percent CI, -5.7 to 6.6 mm) or practitioner (mean difference, 1.0 mm; 95 percent CI, -4.8 to 6.7 mm) visual analogue scale scores. All but one patient had an optimal wound evaluation score of 6 (p = not significant). Scar width was similar at 90 days (mean difference, 0.2 mm; 95 percent CI, -0.05 to 0.5).

Conclusions: Single-layer closure of nongaping, minor (<3 cm) facial lacerations is faster than double-layer closure. Cosmetic outcome and scar width are similar in sutured wounds whether or not deep dermal sutures are used.


以前當住院醫師時就有這個疑問。有的老師縫一層,有的縫二層,之後門診追蹤,真是感覺沒什麼差別。

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