Abstract: ObjectiveTo explore the clinical efficacy of primary suture combined with lipidocolloid dressing drainage in management of maxillofacial dog bite wounds.MethodsA total of 360 patients with maxillofacial dog bite wounds were divided into trial group and control group randomly with 180 cases for each, and treated with debridement and primary suture. The wounds of trial group were located in zygomatic region in 49 cases, buccal region in 38 cases, parotideomasseteric region in 41 cases, mental region in 24 cases and infraorbital region in 28 cases, and the wounds of control group were located in zygomatic region in 43 cases, buccal region in 39 cases, parotideomasseteric region in 45 cases, mental region in 33 cases and infraorbital region in 20 cases. The wounds were treated with lipidocolloid dressing to drain in trial group. The infection rate, healing time, effective rate and scar formation were compared between the two groups.ResultThe wound infection rate and VSS score of scar formation was lower， the wound healing time was shorter and the total effective rate of 7 d and 14 d after the surgery was higher in the trial group than those in the control group, and the differences were statistically （P＜0.05）.ConclusionThe primary suture combined with lipidocolloid dressing drainage could promote the wound healing, reduce the infection rate and prevent the scar formation effectively for maxillofacial dog bite wounds.
张路1，黄立嵩2. 一期缝合联合脂质水胶敷料引流在颌面部犬咬伤治疗中的应用效果[J]. 中国现代手术学杂志, 2018, 22(3): 213-216.
ZHANG Lu, HUANG Lisong. The Effect of Primary Suture Combined with Drainage of Lipidocolloid Dressing in Management of Maxillofacial Dog Bite Wounds. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 213-216.
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