2026 年第 4 期 第 21 卷

超减张缝合在皮肤良性肿物切除术后切口修复中的应用价值研究

Application value of ultra-tension-relieving suture in incision repair after excision of benign skin tumors

作者：于娜林煌

英文作者：Yu Na Lin Huang

单位：首都医科大学附属北京安贞医院整形美容激光中心，北京100029

英文单位：Plastic Surgery Laser Center Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：皮肤良性肿物切除；超减张缝合；瘢痕；伤口闭合技术

英文关键词：Excisionofbenignskintumors;Ultra-tension-relievingsuture;Scar;Woundclosuretechnique

• 摘要：

• 目的 评价超减张缝合在皮肤良性肿物切除术后切口修复中的应用价值。方法 回顾性分析2023年9月至2024年12月在首都医科大学附属北京安贞医院门诊接受皮肤良性肿物切除术并完成随访的54例患者的临床资料，根据皮肤肿物切除术后缝合方式，将患者分为接受传统减张缝合的对照组（25例）和接受超减张缝合的观察组（29例）。比较2组术后2周的切口愈合情况、并发症发生率，以及术后6个月的瘢痕外观及质地，采用温哥华瘢痕量表（VSS）、患者瘢痕自评量表（PSAS）及观察者瘢痕评估量表（OSAS）进行评分。结果 2组延迟愈合率比较差异无统计学意义（P=0.463）。观察组感染、血肿发生率均低于对照组，色素沉着发生率与对照组接近，但差异均无统计学意义（均P>0.05）。在VSS各分项评分中，观察组色泽、血管分布、柔软度评分及总评分均显著低于对照组［1.0(1.0,1.0)分比2.0(1.0,2.0)分、1.0(0.0,1.0)分比1.0(1.0,2.0)分、1.0(1.0,1.0)分比2.0(1.0,2.0)分、（3.3±1.4）分比（5.4±2.5）分］（均P<0.05）。观察组PSAS评分的颜色、柔软度、自我感受、疼痛、瘙痒及总体印象评分均显著低于对照组，OSAS评分的血管分布、色泽、柔软度、表面粗糙度、面积及总体印象评分均显著低于对照组（均P<0.05）。结论 超减张缝合能够有效分散切口张力，降低瘢痕形成程度，改善术后美观效果。

• Objective To evaluate the application value of ultra-tension-relieving suture in incision repair after excision of benign skin tumors. Methods Clinical data of 54 patients who underwent excision of benign skin tumors and completed follow-up in the outpatient department of Beijing Anzhen Hospital, Capital Medical University from September 2023 to December 2024 were retrospectively analyzed. According to the suture method after skin tumor resection, patients were divided into control group (25 cases) receiving traditional tension-relieving suture and observation group (29 cases) receiving ultra-tension-relieving suture. Incision healing at 2 weeks after operation, incidence of complications, and scar appearance and texture at 6 months after operation were compared between the two groups. The Vancouver Scar Scale (VSS), Patient Scar Assessment Scale (PSAS) and Observer Scar Assessment Scale (OSAS) were used for scoring. Results There was no significant difference in delayed healing rate between the two groups (P=0.463). The incidence of infection and hematoma in the observation group was lower than that in the control group, and the pigmentation rate was similar to that in the control group, but the differences were not statistically significant (all P>0.05). In each subscore of VSS, the scores of pigmentation, vascularity, pliability and total score in the observation group were significantly lower than those in the control group ［1.0(1.0,1.0) vs 2.0(1.0,2.0), 1.0(0.0,1.0) vs 1.0(1.0,2.0), 1.0(1.0,1.0) vs 2.0(1.0,2.0), and (3.3±1.4) vs (5.4±2.5)］(all P<0.05). The scores of color, pliability, patient satisfaction, pain, itching and overall impression in PSAS of the observation group were significantly lower than those of the control group, and the scores of vascularity, pigmentation, pliability, surface roughness, area and overall impression in OSAS of the observation group were significantly lower than those of the control group (all P<0.05). Conclusion Ultra-tension-relieving suture can effectively disperse incision tension, reduce scar formation and improve postoperative aesthetic effect.