减张胶带联合硅酮敷料对甲状腺开放性手术患者切口瘢痕改善情况的影响
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盐城市第一人民医院

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    摘要:

    【】目的 探讨减张胶带联合硅酮敷料(SD)在甲状腺开放性手术切口中的抗瘢痕及美容效果。方法 回顾性分析2024年1月至2025年1月本院收治的200例甲状腺开放性手术患者临床资料,依据术后切口处理方式分为对照组(n=100,常规敷料处理)和观察组(n=100,减张胶带联合硅酮敷料处理)。比较两组术后6个月瘢痕评估量表(VSS)评分、切口愈合质量、美容满意度及并发症发生率。结果 观察组VSS总分(3.68±0.91)分低于对照组(6.85±1.48)分(P<0.05);观察组甲级愈合率93.00%高于对照组73.00%(P<0.05);观察组美容满意率95.00%高于对照组75.00%(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论 减张胶带联合硅酮敷料可有效改善甲状腺开放性手术切口瘢痕形成,提高切口愈合质量及美容满意度,安全性良好。

    Abstract:

    Wang Wei, Wang Yuanjin
    Department of Thyroid and Breast Surgery, Yancheng First People"s Hospital, Yancheng City, Jiangsu Province 224000
    :Objective To investigate the anti-scar and cosmetic effects of tension-reducing tape combined with silicone dressing (SD) in open thyroid surgery incisions. Methods A retrospective analysis was conducted on clinical data of 200 patients undergoing open thyroid surgery admitted to our hospital from January 2024 to January 2025. Patients were divided into a control group (n=100, conventional dressing) and an observation group (n=100, tension-reducing tape combined with silicone dressing) based on postoperative incision management. The VSS scores at 6 months, incision healing quality, cosmetic satisfaction, and complication rates were compared between the two groups. Results The total VSS score in the observation group (3.68±0.91) was significantly lower than that in the control group (6.85±1.48) (P<0.05). The Grade A healing rate in the observation group (93.00%) was higher than that in the control group (73.00%) (P<0.05). The cosmetic satisfaction rate in the observation group (95.00%) was higher than that in the control group (75.00%) (P<0.05). No statistically significant difference was observed in complication rates between the two groups (P>0.05). Conclusion Tension-reducing tape combined with silicone dressing can effectively improve scar formation in open thyroid surgery incisions, enhance incision healing quality and cosmetic satisfaction, and demonstrates good safety.

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  • 收稿日期:2026-02-03
  • 最后修改日期:2026-03-11
  • 录用日期:2026-03-13
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