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超减张缝合（super-tension-reduction suture,STRS）指在缝合后能在较长时间内维持皮肤零张力、甚至负张力状态闭合的一种缝合技术。相较于传统缝合方式及普通减张缝合，STRS在促进伤口愈合、降低瘢痕发生率、改善伤口外观等方面具有显著优势。近年来，STRS受到越来越多的关注，众多学者也在STRS的改良及临床应用方面进行了大量的探索。但目前国内外尚无关于STRS的共识或指南对其应用提供推荐性建议。因此，中国研究型医院学会创面防治与损伤组织修复专业委员会牵头组织多名从事烧伤外科、整形外科、手外科等学科的专家，对伤口应用解剖、外科伤口的定义和分类、STRS的术语和定义、STRS的临床应用进行充分的讨论总结，形成了《外科伤口超减张缝合专家共识》。本共识旨在规范STRS在外科伤口中的临床应用，提高操作者对STRS的理论认知和实践水平，保证该缝合方法的安全性和有效性。
Abstract：Super-tension-reduction suture(STRS) refers to a suture technique maintaining the skin closed in a state of zero tension or even negative tension for a relatively long time after suture. Compared with traditional suture methods and ordinary tension-reducing suturing, STRS has significant advantages in promoting wounds healing, reducing the incidence of scars and improving the appearance of wounds. In recent years, STRS has received increasing attention, and numerous scholars have also conducted extensive explorations in the modification and clinical application of STRS. However, up to now, there is no consensus or guidelines at home and abroad on STRS to provide recommendations for its application yet. Therefore, the Chinese Research Hospital Association Committee on Wound Prevention and Treatment and Tissue Repair organized multiple experts specializing in burn surgery, plastic surgery, hand surgery et. al to conduct a thorough discussion and summary on wound anatomy, the definition and classification of surgical wounds, the terms and definitions of STRS, and the clinical application of STRS, composing the “Expert Consensus on Super-Tension-reducing Suturing for Surgical Wounds”. This consensus aims to standardize the clinical application of STRS in surgical wounds, improving the theoretical understanding and practical level of operators regarding STRS, and ensuring the safety and effectiveness of this suture method.
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基本信息:
DOI：
中图分类号:R6
引用信息:
[1]《中国科技论文》体表外科卷编辑委员会 ,中国研究型医院学会创面防治与损伤组织修复专业委员会 ,魏在荣,等.外科伤口超减张缝合专家共识[J].中国科技论文,2025,20(09):719-728.
基金信息:
省部共建协同创新中心项目（教科技厅函【2020】39号）; 国家自然科学基金资助项目（82360445）; 贵州茅台医院科研与人才培养资金资助项目（mtyk2022-13）