剖宫产术切口两种缝合法的对比分析.docx

剖宫产术切口两种缝合法的对比分析作者:魏晓红,干霞,刘合年,安虹,吴勤[摘要]目的改进剖宫产切口的缝合技术。方法将100例产妇随机分为两组,其中50例采用快薇乔可吸收线皮内连续缝合手术切口,50例采用三针间断褥式缝合手术切口。比较两组住院时间及术后伤口愈合情况。结果切口缝合时间观察组与对照组相比明显延长,但平均住院时间明显短于对照组,观察组甲级愈合率明显高于对照组,且愈合后皮肤较对照组平整,呈一条淡红色细线状瘢痕,皮下无硬结。结论快薇乔可吸收线皮内连续缝合较三针间断褥式缝合效果好,值得推广。[关键词]剖宫产术;快薇乔;皮内连续缝合;parisonoftwosuturemethodsforincisionofcesareansection Abstract:ObjectiveToimprovethesuturingtechniquesintheincisionsofcesareanAtotalof100casesofcesareansectionweredividedrandomlyintocontrolandobservationintradermicsuturewithViorylsuturesandinterruptedmattresssutureofthreepositionswereemployedintheobservationandcontrolgroups,ofstayandwoundhealinginthetwogroupswereThetimeforskinsuturewasmarkedlylongerbutlengthofstaywasobviouslyshorterandthefirsthealingratewasmarkedlyhigherintheobservationgroupthanthatinthecontroltheobservationgroup,allthepatientshadnosubcutaneousnodules;thehealingscarsoftheincisionwerethinandlinear;andtheskinwasTheresultsindicatethatrunningintradermicsuturewithViorylsuturesisbet-terthaninterruptedmattresssuture,whichisworthbEingpopularizedintheincisionsofcesareansection. Keywords:cesareansection;Viorylsuture;runningintradermicsuture;interruptedmattresssuture 随着社会的不断进步,人们生活水平日益提高,手术患者对术后伤口的愈合也有了更高的要求,如术后伤口愈合快、疤痕小、住院时间短等。腹部切口缝合是外科的基本操作之一,尤其是孕妇下腹部脂肪层很厚,术后易出现液化,如何能在保证手术切口良好愈合的同时减少瘢痕,缝合的技术和方法十分重要。对此,我们将目前临床使用较广的三大针间断褥式缝合与可吸收快薇乔线皮内连续缝合进行了初步对比分析。 1资料与方法一般资料将100例有剖宫产手术指征,无下腹部手术史的产妇,随机分为两组,年龄为21~32岁。其中50例采用快