犬咬伤伤口一期缝合与延迟缝合的对比分析

目的：探讨对犬咬伤伤口行一期缝合的可行性,比较该法与延迟缝合在伤口感染率以及伤口愈合美观性等方面的差异。方法：采用前瞻性随机队列研究,将需伤口缝合的犬咬伤患者随机分为2组：一期缝合组130例,延迟缝合组50例。评价伤口换药及拆线时伤口感染率及伤口愈合美观性评分。结果：在130例行一期缝合的犬咬伤患者中,共有8例（6.1%）发生伤口感染,无全身性感染出现;对照组50例,共2例（4.0%）发生伤口感染,无全身性感染出现。一期缝合组共计73例（56.1%）患者伤口愈合美观性评分为最佳;对照组共计17例（34.0%）患者伤口愈合美观性评分为最佳。结论：对犬咬伤伤口行一期缝合,尽管其感染率较对照组稍高,但考虑到患者对伤口美观的要求,仍在可接受的合理范围内。

A comparative study on dog-induced wound closure： primary vs delay

Objective： To investigate the feasibility of primary closure on dog bite wound, and compare the difference in infection rate and cosmetic appearance between the primary wound closure and delayed closure. Meth- od..We adopted prospective randomized cohort study, dividing the patients who need would closure into two groups： 130 patients for primary closure, and 50 patients for delayed closure, and compare the infection rate and wound cosmetic appearance scores. Result： In all the 130 patients who underwent primary closure, 8 people （6.1%） developed wound infection, without systemic infection; in the 50 patients delayed closure group, 2 people （4 %） occurred wound infection, with no patients occurring systemic infection. Seventy-three patients （56.1%） in primary closure group correlate with optimal cosmetic scores, while only 17 patients （34%） in delayed closure group have the optimal cosmetic scores. Conclusion：Although the primary wound closure for dog bite may be asso- ciated with higher infection rate, after taking into account the cosmetic appearance, primary closure still maintains an acceptable and favorable method for dog bite wound.