陈德广 周陈 王雪山 王进 马艳

    [摘要]目的：探討抗菌性可吸收缝合线及亲水性纤维含银敷料在口周贯通伤处理中的应用效果。方法：选择2020年4月-2021年4月笔者科室收治的37例口周贯通伤患者，随机分为观察组(19例)和对照组(18例)。观察组使用6-0抗菌性可吸收缝合线分层精准对位缝合，术后给予亲水性纤维含银敷料贴敷创面；对照组使用普通可吸收缝合线分层精准对位缝合，术后未使用亲水性纤维含银敷料贴敷。比较两组创面愈合效果、瘢痕[温哥华瘢痕评定量表(Vancouver scar scale，VSS)]及并发症发生情况。结果：术后3个月，观察组创面愈合效果优良率高于对照组(P<0.05)；观察组VSS评分低于对照组(P<0.05)；观察组针眼红肿2例，对照组8例，加强换药后均好转；观察组创面水肿时间短于对照组(P<0.05)。结论：应用抗菌性可吸收缝合线及亲水性纤维含银敷料治疗口周贯通伤，可有效降低术后感染及炎症反应，创面愈合效果好，瘢痕轻，值得在临床推广应用。

    [关键词]美容缝合；口周；贯通伤；感染；瘢痕

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2024)01-0029-03

    Application of Antibacterial Absorbable Suture and Hydrophilic Fiber Containing Silver Dressing in the Treatment of Perioral Penetrating Wounds

    CHEN Deguang，ZHOU Chen，WANG Xueshan，WANG Jin，MA Yan

    (Department of Burn and Plastic Surgery，Suqian Hospital Affiliated to Xuzhou Medical University，Suqian 223800，Jiangsu，China)

    Abstract： Objective? To investigate the application effect of antibacterial absorbable suture and hydrophilic fiber containing silver dressing in the treatment of perioral penetrating wounds. Methods? A total of 37 patients with perioral penetrating injuries admitted to our department from April 2020 to April 2021 were selected and randomly divided into observation group (19 cases) and control group (18 cases). In the observation group ......