评估一种用于成人皮肤闭合的新型快速可吸收单丝缝线的前瞻性观察性研究

P. Baumann, Franz Gumpinger
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摘要

这是第一个前瞻性的单中心研究,评估了一种新的快速、可吸收的单丝缝线在普通外科手术后用于成人皮肤闭合的临床结果。本研究共纳入50例患者,采用Monosyn快速缝合进行皮肤闭合。外科医生使用5分Likert量表评估缝合处理。采用视觉模拟量表(Visual-Analogue-Scale, VAS)评价创面愈合、疼痛和满意度。不良事件的报告一直持续到出院当天。新缝合材料的处理性能被评价为良好至优良。患者平均住院时间为5.46天。医生对伤口愈合的评估非常好[平均(范围)94.94(50.00 - 100.00)]。患者报告疼痛程度低(平均(SD) 23.21±18.96;[范围0.00 - 95.00]),平均持续2.56天[范围0.00 - 7.00天]。出院时患者对皮肤闭合的满意度较高(平均(SD) 94.25±7.89[范围70.00 - 100.00])。未观察到与伤口愈合相关的不良事件。我们的结果表明,新的快速,可吸收的单丝缝线适用于普通外科皮肤伤口近似,代表了其他常用缝合材料的良好选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults
This is the first prospective, single centre study assessing the clinical outcome of a new quick, absorbable, monofilament suture for skin closure in adults after general surgical interventions. In total 50 patients were included in the study to apply Monosyn Quick suture to skin closure. Suture handling was evaluated by the surgeons using a 5-point Likert scale. The Visual-Analogue-Scale (VAS) was used to rate wound healing, pain and satisfaction. Adverse events were reported up to the day of discharge. The new suture material was judged good to excellent regarding its handling properties. Patients stayed in hospital for an average of 5.46 days. Wound healing assessment by the physician was excellent [mean (range) 94.94 (50.00 – 100.00)]. Low pain level was reported by the patients (mean (SD) 23.21±18.96; [range 0.00 – 95.00]) and persisted in mean for 2.56 days [range 0.00 - 7.00 days]. High satisfaction with the skin closure was reported by patients at discharge (mean (SD) 94.25±7.89 [range 70.00 – 100.00]). No wound healing-related adverse events were observed. Our results showed, that the new quick, absorbable, monofilament suture is appropriate for dermal wound approximation in general surgery and represents a good alternative option to other suture materials which are in common use to close the skin.
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