可吸收钢板螺钉与可吸收缝线治疗儿童颅缝闭手术疗效比较。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.1.37
Maryam Nobakht, Seyed Esmail Hasanpour
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引用次数: 0

摘要

背景:以前,可吸收螺钉和钢板系统在伊朗广泛用于颅缝闭锁手术,但现在,由于建立经济制裁,这些工具进口到该国变得困难。在本研究中,我们比较了采用可吸收钢板螺钉和可吸收缝线进行颅缝闭合颅骨成形术的短期并发症。方法:在这项横断面研究中,2018年至2021年在伊朗德黑兰Mofid医院接受颅骨成形术的47例有颅缝闭闭史的患者分为两组。第一组(31例)采用可吸收钢板螺钉,第二组(16例)采用可吸收缝线(PDS)。两组手术均由同一手术组完成。术后第1周、第2周、第1、3、6个月连续随访。数据分析采用SPSS软件25版。结果:两组患者均未出现中短期并发症。未见复发。Whittaker分类中,I类占63.8%,II类占29.8%,III类占6.4%,IV类占0%。治疗方式(螺钉钢板或可吸收缝线)与较高Whitaker评分无统计学意义。颅缝闭合类型与高惠特克评分之间也无统计学意义。结论:可吸收缝合线是外科医生在颅缝闭合术中固定骨碎片的一种有价值且性价比高的工具。
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Comparison of Craniosynostosis Surgery Outcomes Using Resorbable Plates and Screws versus Absorbable Sutures in Children with Craniosynostosis.

Background: Previously, absorbable screw and plate systems were widely used in craniosynostosis surgery in Iran, but now, due to the establishment of economic sanctions, the importation of these tools into the country has become difficult. In this study, we compared the short-term complications of cranioplasty surgery in craniosynostosis using absorbable plate screws with absorbable sutures.

Methods: In this cross-sectional study, 47 patients with a history of craniosynostosis who underwent cranioplasty at Tehran Mofid Hospital, Tehran, Iran from 2018 to 2021 were divided into two groups. For first group (31 patients) we used absorbable plate and screws, and for the second group (16 patients) absorbable sutures (PDS). All operations in both groups were performed by the identical surgical team. Patients followed up for consecutive post-operative examinations in the first and second weeks and 1, 3, and 6 months. Data were analyzed using SPSS software version 25.

Results: The results did not show any short-term or medium-term complications in either group. No recurrences were observed. In Whittaker classification, 63.8% were Class I, 29.8% were Class II, 6.4% were Class III, and 0% were Class IV. There was no statistically significant relationship between the type of treatment (screw and plate or absorbable suture) and higher Whitaker. There was also no statistically significant relationship between type of craniosynostosis and higher Whittaker.

Conclusion: The absorbable sutures can be considered as valuable and cost-effective tools in the fixation of bone fragments in craniosynostosis surgeries by surgeons.

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