摘要
目的介绍皮下无线结缝合法并探讨该缝合法在头皮切口缝合中的应用价值。方法选择自2008年1月至2015年1月在安徽省第二人民医院神经外科住院的118例开颅手术患者，按切口缝合方法分为2组（传统缝合组51例和无线结缝合组67例），并统计分析2组患者切口缝合时间、术后切口甲级愈合率、线结排异反应等指标的差异。结果传统缝合组切口缝合时间为（27．35±1．85）min；甲级愈合45例，乙级愈合6例；发生线结排异反应14结次，其中1例线结排异反应致颅骨修补材料外露。无线结缝合组切口缝合时间为（18．36＋2．50）min；甲级愈合63例，乙级愈合4例；发生线结排异反应0例次。2组患者切口缝合时间、线结排异反应发生率比较差异均有统计学意义（P〈0．05），切口甲级愈合率（88．24％vs94．03％）比较差异无统计学意义（P=0．263）。结论皮下无线结缝合法能够缩短切口缝合时间及从根本上消除线结排异反应，值得推广应用。
Objective To introduce the method of non-knot subcutaneous suture technique and explore the application value of this method in scalp incision suture. Methods One hundred and eighteen patients, admitted to and performed craniotomy in our hospital from January 2008 and January 2015, were enrolled and divided into traditional suture group （n=51） and non-knot subcutaneous suture （n=67） according to the suture methods. The incision suture time, class A or B healing rate and rejection reaction in the two groups were analyzed. Results Time of traditional incision suture was （27.35±1.85） min; there were 45 patients having class A healing and 6 class B healing; 14 times of rejection including 1 having knotting reaction leading to explosion of bone repair material were noted. However, time of non-knot subcutaneous suture was （18.36±2.50） min; and there were 63 patients having class A healing and 4 class B healing; and no rejection was noted. Statistically significant differences were noted between the two groups in the incision suture time and rejection rate （P〈0.05）, while there was no significant difference in the incision healing level （88.24% vs. 94.03%, P=0.263）. Conclusion Non-knot subcutaneous suture technique can shorten the suture time and eliminate the knot rejection, which is easy to learn and promote.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2015年第11期1159-1161,共3页
Chinese Journal of Neuromedicine
