皮肤伤口缝合技术及其临床应用研究进展

贾珊珊; 王晓川; 焦亚; 姜笃银; 赵洁

doi:10.3760/cma.j.cn501120-20200701-00334

皮肤伤口缝合技术及其临床应用研究进展

doi: 10.3760/cma.j.cn501120-20200701-00334

1.
山东大学齐鲁医学院，济南　　250012
2.
山东大学第二医院整形烧伤科，济南　　　　250033
3.
山东大学第二医院急诊医学中心，济南　　250033

基金项目:

国家自然科学基金面上项目 81873934

山东省科技攻关项目 2015GSF118041

济南市科技发展计划 201704129

详细信息

通讯作者:
赵洁，Email：420458387@qq.com

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- 被引次数: 0
出版历程
- 收稿日期: 2020-07-01

Research advances on skin wounds suturing techniques and their clinical application

1.
Cheeloo College of Medicine, Shandong University, Jinan 250012, China
2.
Department of Plastic and Burn Surgery, the Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250033, China
3.
Department of Emergency, the Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250033, China

Funds:

General Program of National Natural Science Foundation of China 81873934

Key Scientific and Technological Projects of Shandong Province of China 2015GSF118041

Science and Technology Development Plan of Jinan 201704129

More Information

Corresponding author: Zhao Jie, Email: 420458387@qq.com

摘要

摘要: 皮肤伤口缝合是外科医师必备技能之一。无论是外伤伤口还是手术切口，根据其特点选择合适的缝合方式是愈合良好的重要因素。多年来，各种皮肤伤口缝合技术不断地涌现，经不断改进后形成了操作简便、对合精准、降低创缘张力及减少瘢痕形成等优势。这些技术虽然为伤口的缝合提供了更多选择，但是也对术者的判断能力和操作能力提出了要求。本文就不同皮肤伤口缝合技术的优点和不足及其临床应用进行综述。
- 伤口愈合 /
- 缝合技术 /
- 临床应用
Abstract: Stitching skin wounds is one of the essential skills of a surgeon. Whether it is a traumatic wound or a surgical incision, choosing the most appropriate closure technique according to its characteristics is an important factor for good healing. Various skin wounds suturing techniques have been created and improved over the years, which have advantages of simple operation, precise alignment, reducing tension of the wound edges, and reducing scar formation, etc. Although these techniques provide more options for wound suture, they also put forward requirements for the judgment and operation ability of the operators. This article summarizes the advantages and disadvantages of the different skin wounds suturing techniques and their clinical application.
- Wound healing /
- Suture techniques /
- Clinical application
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参考文献(40)

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1 2种改良褥式缝合示意图（俯视图）。1A.单纯连续缝合结合垂直褥式缝合；1B.连续“V”形水平褥式缝合

注：图中箭头指示针线走行方向；中央横线为伤口

下载: 全尺寸图片幻灯片

2 经表皮原位回针缝合示意图。2A.经皮埋没垂直褥式缝合（截面图）；2B.连续经皮埋没垂直褥式缝合（侧俯视图）；2C.部分埋没水平褥式缝合（侧俯视图）

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

3 格子缝合和滑轮缝合示意图。3A.格子缝合（左为截面图，右为俯视图）；3B.滑轮缝合（截面图）

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

4 4种真皮层的缝合方法示意图（截面图）。4A.埋没垂直褥式缝合；4B.折返埋没缝合；4C.梯形切除结合改良的垂直褥式埋没缝合；4D.改良埋没水平褥式缝合

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

5 皮下反向交叉褥式缝合和拉链缝合示意图（侧俯视图）。5A.皮下反向交叉褥式缝合；5B.拉链缝合

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

6 ImPli 缝合和琴弦缝合示意图。6A.ImPli 缝合（截面图）；6B.琴弦缝合（侧俯视图）

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

7 三角皮瓣样伤口的3种缝合方法示意图。7A.三角缝合（俯视图）；7B.三角缝合结合垂直褥式缝合（俯视图）；7C.三维连续缝合（俯视图），行针顺序为a、b、c、d、e、f

注：图中箭头指示针线走行方向

下载: 全尺寸图片幻灯片

8 “M”“T”“V-Y”形伤口的3种缝合方法示意图。8A.尖端缝合（俯视图）；8B.交叉缝合（俯视图）；8C.深层尖端缝合（45°俯视图）

注：图中箭头为针线走行方向

下载: 全尺寸图片幻灯片

9 两侧不等长或不等高伤口的缝合方法示意图。9A.半水平半垂直埋没缝合（左为缝合前45°俯视图，右为缝合后俯视图）；9B.半埋没水平褥式缝合（左为缝合前45°俯视图，右为缝合后45°俯视图）

下载: 全尺寸图片幻灯片