[摘要]目的：探讨改良减张缝合术用于面部外伤修复的美学效果及对瘢痕形成的影响。方法：纳入2020年8月-2023年8月在笔者医院收治的104例面部外伤患者临床资料。依据不同手术缝合方式将入组对象分为传统缝合术组(n=51)和改良减张缝合术组(n=53)。比较两组创口愈合及并发症情况，术后3个月评估近期疗效、瘢痕分级、瘢痕增生情况，术后6个月对瘢痕恢复情况进行满意度评价。结果：改良减张缝合术组创口水肿持续时间、创口愈合时间短于传统缝合术组(P<0.05)，治疗费用高于传统缝合术组(P<0.05)。改良减张缝合术组、传统缝合术组术后并发症比较差异无统计学意义(P>0.05)。改良减张缝合术组总有效率及瘢痕分级均优于传统缝合术组(P<0.05)，温哥华瘢痕量表评分及医生和患者对瘢痕的评价评分均低于传统缝合术组(P<0.05)。结论：改良减张缝合术用于面部外伤修复有利于创口愈合，改善术后瘢痕形成情况，美学效果确切。

    [关键词]面部外伤；减张缝合；美容缝合；瘢痕；美学效果

    [中图分类号]R622" " [文献标志码]A" " [文章编号]1008-6455(2025)09-0064-04

    Aesthetisc Effect of Modified Tension Suture on Facial Injury Repair and Its Influences on Scar Formation

    WANG Hehong， PENG Haifeng， YANG Qin， ZHUANG Qingyuan

    ( Department of Aesthetic Medicine， Wuhu Hospital Affiliated to East China Normal University， Wuhu 241000， Anhui， China )

    Abstract： Objective" To explore the cosmetic effect of modified tension suture on facial injury repair and its influences on scar formation. Methods" A total of 104 patients with facial injury in the hospital were enrolled as the research objects between August 2020 and August 2023. According to different suture methods ......