PDF(Pubmed)
Abstract：
Controversy remains regarding the optimal technique and suture type for wound closure after carpal tunnel surgery. Adult patients undergoing open carpal tunnel release were prospectively randomized to receive either interrupted, buried Monocryl sutures or traditional nylon horizontal mattress sutures for their wound closures. At the 2-week and 6-week postoperative visits, Patient and Observer Scar Assessment Scale questionnaires were completed. At 2 weeks, patients and observers had a significantly better opinion of incisions closed with Monocryl. By 6 weeks, neither patients nor observers found a difference between suture types in any category. Scars of wounds closed with Monocryl did not change appreciably in appearance between 2 and 6 weeks. However, patients and observers noted significant improvement in scar appearance in the nylon group over time. Monocryl suture represents an effective method for carpal tunnel closure that leads to improved patient- and observer-reported outcome scores in the early postoperative period compared with nylon.Level of evidence: II.
摘要：
腕管手术后伤口闭合的最佳技术和缝合类型仍存在争议。接受开放式腕管松解术的成年患者被随机分组接受中断治疗，埋藏的Monocryl缝合线或传统的尼龙水平床垫缝合线用于伤口闭合。在2周和6周的术后访视，完成患者和观察者疤痕评估量表问卷。两周后，患者和观察者对Monocryl封闭切口的看法明显更好.到6周,患者和观察者均未发现任何类别的缝线类型之间存在差异。用Monocryl闭合的伤口的疤痕在2至6周之间的外观上没有明显变化。然而,患者和观察者注意到,随着时间的推移,尼龙组的瘢痕外观有显著改善.Monocryl缝合是腕管闭合的有效方法，与尼龙相比，在术后早期可改善患者和观察者报告的预后评分。证据级别：II。
