胶原蛋白线在口腔种植手术切口无张力缝合中的效果及对伤口愈合时间的影响

目的 探讨胶原蛋白线在口腔种植手术切口无张力缝合中的效果及对伤口愈合时间的影响.方法选取2016年1月至2017年1月在景洪忠华口腔诊所门诊进行牙齿种植修复术的患者100例, 随机分为对照组和研究组, 每组各50例, 对照组患者采用丝线编织非吸收性缝线缝合伤口, 研究组采用胶原蛋白线缝合伤口, 比较2组患者伤口愈合等级、缝合线吸收情况、伤口愈合时间及平整率.结果 研究组的甲级愈合率为96%, 显著高于对照组的80% (P<0.05) , 且研究组的不良反应发生率为6%, 低于对照组的20% (P<0.05) ;研究组治疗后不同时间的缝合线完全吸收率和切口平整率分别为84%、96%、100%和86%, 均明显高于对照组的62%、78%、80%和68% (P<0.05) 研究组的切口愈合时间以及术后3 d、5 d和7 d的疼痛视觉模拟 (VAS) 评分均明显低于对照组 (P<0.05) .结论 胶原蛋白线在口腔种植手术切口无张力缝合的伤口愈合及术后恢复要明显优于丝线编织非吸收性缝线, 胶原蛋白线可口内降解, 有效提高了患者伤口愈合等级及伤口平整率, 加速伤口愈合, 具有推广应用价值.

Effect of Collagen Thread in Tension-Free Suture of Oral Implant Surgical Incision and Effect on Wound Healing Time

Objective To investigate the effect of collagen line in the tension-free suture of the incision of oral implant and the effect on the healing time of the wound. Me thods 100 patients were selected from January2016 to January 2017 for repair of dental implant in Zhong Hua Dental clinic of Jinghong city, and they were randomly divided into control group and study group, with 50 cases in each group. The control group was treated with non absorbable sutures of silk suture wounds, while the study group using collagen suture wounds, then we compared two groups of patients with wound healing grade, suture line absorption, wound healing time and formation rate. Re s ults The research group of grade A healing rate was 96%, significantly higher than 80% in the control group (P < 0.05) , and the adverse reactions of the study group was 6%, lower than 20% in the control group (P < 0.05) ;the complete absorption rate and smooth incision rates in the study group for suture in different times were 84%, 96% 100%, and 86%, which were significantly higher than the control group's 62%, 78%, 80% and 68% (P < 0.05) . The wound's healing time and postoperative VAS score of 3 d, 5 d and 7 d were significantly lower than the control group (P < 0.05) . Conclus ion Collagen line in oral implant surgery incision tension-free suture of wound healing and postoperative recovery is significantly better than that of silk and non absorbable sutures, and collagen can be degradated orally, which effectively improves the wound healing of patients with grades and wound flat rate, and effectively accelerates wound healing, with the value of application.