| 摘要: |
| 目的:探索联合A 型肉毒毒素使用是否可以减轻急性阑尾炎手术术后切口瘢痕增生。方法:选取2018 年3 月—2018 年12 月在北京丰台右安门医院行急性阑尾炎切除手术的80 例患者，随机分为观察组和对照组，观察组在常规缝合后切口边缘注射A 型肉毒毒素，对照组仅进行常规缝合，分别于术后1 周、2 周、1 月和3 月进行随访，采用视觉模拟评分法(VAS)评估术后疼痛情况；采用温哥华瘢痕量表对瘢痕的色泽、厚度、血管分布及柔软度4 个指标判断瘢痕增生情况；比较两组的上述指标，记录并比较两组的术后切口愈合时间和术后满意度情况。结果:术后1 天，两组患者各项指标差异无统计学意义，术后1 周、2 周、1 月及3 月，观察组的VAS 评分明显低于对照组；术后1 周，观察组的瘢痕厚度和血管分布及术后2 周、1 月和3 月的瘢痕色泽、厚度、血管分布及柔软度评分均低于对照组；观察组术后切口愈合时间短于对照组，且观察组患者满意度高于对照组，差异均有统计学意义(P 均＜ 0.05)。结论:急性阑尾炎切除手术术后行切口缝合时，联合A 型肉毒毒素使用在一定程度上可以减轻切口瘢痕增生。 |
| 关键词: 瘢痕 肉毒毒素 A 型 阑尾炎切除术 |
| DOI：10.3969/j.issn.1007-6948.2020.02.014 |
| 投稿时间：2020-01-01 |
| 基金项目: |
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| Effects of Combined Botulinum Toxin Type A Treatment on Postoperative Incision Scar Hyperplasia after Appendectomy |
| LI Dong-hai |
| Beijing Fengtai Youanmen Hospital ,Beijing 100069，China |
| Abstract: |
| Objective To explore whether the use of botulinum toxin type A could reduce the wound scar hyperplasia after appendectomy. Methods Eighty patients who underwent appendectomy in Beijing Fengtai Youanmen hospital from March 2018 to December 2018 were randomly divided into the observation group and the control group. The observation group was combined with the use of botulinum toxin A during routine suture,The control group was only subjected to conventional sutures. Follow-up was performed at 1 week, 2 weeks, 1 |
| Key words: Cicatrix botulinum toxin type A appendectomy |
