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尼龙线与丝线用于手术皮肤缝合的比较

Comparison of Nylon and Silk on the Skin Suture

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【作者】 陈春花高美容

【Author】 CHEN Chunhua1 GAO Meirong2 1.Sanming Hospital of Integrated Traditional and Western Medicine;2.The Second Hospital of Sanming,Fujian 365001

【机构】 福建省三明市中西医结合医院福建省第十一批援博茨瓦纳医疗队福建省三明市第二医院

【摘要】 目的探讨哪一种缝线用于皮肤缝合更有利于患者。方法对500例患者分别用尼龙线(408例)、丝线(92例)对腹部皮肤进行缝合。结果尼龙线用于皮肤缝合比丝线更好,两组比较χ2=2.53,P<0.05,有统计学意义。结论尼龙线光滑,对组织损伤小,打结的安全度高,在缝合组织中很顺利通过组织,对组织有好的相容性,无刺激反应。丝线是一种柔软易折的原材料,易打结,打结的安全性也高。但它常与组织粘连,拆线时患者感觉疼痛,比尼龙线易于感染。

【Abstract】 Objective This essay tries to figure out which material is more beneficial to patients in skin suture.Methods At the 500 cases,382 cases of male and female 118 cases with a Nylon(polyamide-6)and silk used abdomind skin to suture.Results According to astatistical the patency with Nylon was significantly higher than that in Silk.Conclusion Nylon(monofilament polyamide suture) is better than silk suture in skin suture.Nylon is a blue synthetic non-absorbable monofilament made of polyamide 6.Its advantages are good knot-pull tensile strength,secure knot holding,smooth tissue passage,good tissue compatibility.Although silk is considered a nonabsorbable material,it is a soft,pliable suture material,has excellent handing and knot-tying properties,and its knot security is high,but wound infectious incidence in silk suture is more higher when compared to in nylon suture,and silk suture removal can be more difficut and painful because the braided material becomes infiltrated with cells and encrusted with debris while silk sutures are implanted in the skin.

【关键词】 尼龙线丝线皮肤缝合
【Key words】 NylonSilkSkinSuture
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2009年01期
  • 【分类号】R615
  • 【被引频次】8
  • 【下载频次】169
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