| Objective: To analyze the effect of cosmetic suture,surgical suture and tissue glue adhesion on facial skin laceration in children,and to provide reference for clinical treatment of facial skin laceration in children.Methods: 102 cases of children with facial skin laceration diagnosed in plastic surgery department of our hospital from September 2018 to November 2020 were selected and studied;The family members agreed to use one of the three surgical methods of cosmetic suture,surgical suture and tissue glue adhesion to treat the wound and signed the informed consent;The depth of the wound reached or exceeded the dermis;All children were treated by the same doctor.Exclusion criteria: the time from injury to treatment was more than 8 hours;Patients with congenital diseases or basic diseases;The wound was infected;Those who didn’t follow the doctor’s advice after operation;They did not insist on using anti scar drugs after removing stitches;Those who can not insist on follow-up.According to the inclusion criteria and exclusion criteria,102 patients met the inclusion criteria,including 64 male children and 38 female children.After explaining the characteristics of the three treatment methods in detail to the family members of the children,the patients choose the treatment method.The patients were divided into three groups according to the different ways of wound treatment.Group A was cosmetic suture group,41 cases.According to the five principles of no trauma,no hematoma and foreign body,no infection,no tension and no dislocation,precise suture was performed;Group B:surgical suture group,28 cases.Surgical suture is suitable for most cases,and full-thickness suture can be used for hemostasis in case of active bleeding;Group C:tissue glue group,33 cases.It is suitable for wounds with less tension and less than5 cm in length.The wound treatment time,intraoperative performance,healing time,scar condition and patient satisfaction were observed and compared among the three groups.SPSS 21.0 software was used for statistical analysis,and chi square test was used for counting data.P < 0.05 was statistically significant.For measurement data(xˉ± s)The difference was statistically significant(P < 0.05).Results: the suture time of group A was 38.17 ± 4.27 min,intraoperative performance 3.02 ± 0.76,healing time 6.73 ± 0.74 days,scar score 2.17 ± 0.70 points,patient satisfaction score 4.22 ± 0.57 points;The suture time of group B was 33.50 ±4.35 min,intraoperative performance 2.75± 0.75,healing time 7.04 ± 1.04 days,scar score 3.11 ± 0.79,patient satisfaction score was 3.79 ± 0.56 points;The treatment time of group C was 17.21 ± 2.53 min,intraoperative performance 1.97 ± 0.92 points,healing time 7.18 ± 1.33 days,scar score 2.91 ± 0.88 points,patient satisfaction score3.82 ±0.47 points.In terms of intraoperative performance score,group C compared with group A and group B,the time was less,and all P < 0.05,the difference was statistically significant,group a compared with group B,P > 0.05,the difference was not statistically significant;In terms of healing time,there was no significant difference among the three groups(P > 0.05);In terms of patient satisfaction score,the score of group A was higher than that of group B and group C,and the differences were statistically significant(P < 0.05).Compared with group C,the difference was not statistically significant(P > 0.05).In terms of disposal time,group A,group B and group C were compared,both P < 0.05,the difference was statistically significant;In terms of scar rating score,group A had lower scores than group B and group C,and the differences were statistically significant(P < 0.05).Compared with group C,group B had no statistically significant difference(P > 0.05).Conclusion:(1)cosmetic suture takes longer time to treat the wound,and performs better in patient satisfaction and scar score 6 months after operation,which is worthy of priority;(2)The time of wound treatment with tissue glue is shorter,and the children are more cooperative with the operator. |
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