关键词: 体表肿物； 美容缝合技术； 负压封闭引流技术； 疼痛； 瘢痕

Abstract: Objective To observe the effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses.Methods From January 2020 to June 2023,60 patients with large surface mass hospitalized in the Department of Burns and Plastic Surgery of Northern Jiangsu People’s Hospital were recruited as participants,and they were divided into study group and control group by block random method.Patients in the control group were treated with cosmetic suture technique to suture the surgical incision,while patients in the study group were treated with vacuum sealing drainage technique on the basis of cosmetic suture to further improve the quality of incision healing.The postoperative numerical rating scale (NRS) score,visual analogue scale (VAS) score,Vancouver Scar Scale (VSS) score,Patient Scar Assessment Scale (PSAS) score and other indicators were compared between the two groups.Results One week after surgery,the NRS score in the study group was (2.15±0.46)points,significantly lower than that in the control group (3.79±0.68)points,and the pain in the study group was less than that in the control group(P<0.05).Two week after surgery,the VAS score in the study group (1.57±0.63)points was also lower than that in the control group (3.62±0.96)points(P<0.05).The incision in the study group was smoother,and patients reported higher satisfaction with the incision compared to the control group.Six months post-operation,the VSS score in the study group (2.31±1.13)points was lower than that in the control group (3.49±1.46)points,while the PSAS score in the study group (7.68±1.65)points was significantly lower than that in the control group (11.33±1.92)points(P<0.05).In the study group, the incision scar was lighter and the scar condition was better.Conclusion The application of vacuum sealing drainage technology in the cosmetic suture incision for large body surface masses can further improve the quality of incision healing,reduce incision scar,and improve patient satisfaction.

Key words: surface mass; cosmetic suture technique; vacuum sealing drainage technique; pain; scar