摘要
目的比较新式剖宫产腹壁两种缝合方法的效果。方法以本院2013年6月~2014年6月行新式剖宫产的70例患者为研究对象,根据不同缝合方式将其分为两组,各35例。A组患者不缝合皮下脂肪层直接行皮内连续缝合,B组患者则行常规皮内连续缝合,比较两组的手术时间、切口缝合时间、切口愈合时间及并发症等情况。结果两组的手术时间[A组（29.5±3.4）min vs B组（39.3±4.6）min]、切口缝合时间[A组（4.4±1.4）min vs B组（6.8±1.6）min]比较,差异有统计学意义（P〈0.05）。A组的术后皮下硬结发生率为5.7%,与对照组的48.6%比较,差异有统计学意义（P〈0.05）,两组的术后发热、切口愈合不良、切口皮肤红肿发生率比较,差异无统计学意义（P〉0.05）。结论与常规皮内连续缝合比较,不缝合皮下脂肪层直接行皮内连续缝合具有手术时间短、皮下硬结发生率低等特点,值得临床推广。
Objective To compare the effect of two kinds of suturing method of abdominal wall in new cesarean.Methods 70 patients with new cesarean in our hospital from June 2013 to June 2014 were selected as the study objects,and they were divided into the two groups according to the different suturing method,and there were 35 cases in each group.Patients in the group A was directly given intracutaneous continuous suture having no suturing subcutaneous fat layer,the group B was given conventional intracutaneous continuous suture,the operation time,incision suture time,incision healing time and complications and so on in the two groups were compared. Results There was a statistical difference of operation time [（29.5±3.4） min in the group A vs（39.3±4.6） min in the group B],incision suture time[（4.4±1.4）min in the group A vs（6.8±1.6）min in the group B] in the two groups（P〈0.05）.There was a statistical difference of incidence rate of postoperative subcutaneous induration in the group A（5.7%） compared with the control group（48.6%）（P〈0.05）,there was no statistical difference of postoperative fever,poor healing of incision,skin irritation of incision in the two groups（P〈0.05）. Conclusion Compared with conventional intracutaneous continuous suture, intracutaneous continuous suture having no suturing subcutaneous fat layer has the characteristics of shorter operation time,lower the incidence rate of subcutaneous induration,and it is worthy of clinical promotion.
出处
《中国当代医药》
2015年第6期103-104,107,共3页
China Modern Medicine
关键词
新式剖宫产
缝合方式
皮内连续缝合
New cesarean
Suturing method
Intracutaneous continuous suture
