下腹部横切口缝合与不缝合皮下脂肪的对比研究  

Comparison of closure of subcutaneous tissue versus non-closure in lower abdominal cross incision

作　　者：熊宙芳[1] 董卫红[1] 王泽华[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院妇产科,武汉430022

出　　处：《华中医学杂志》2005年第4期257-258,共2页Central China Medical Journal

摘　　要：目的探讨妇科下腹部横切口手术中不缝合皮下脂肪对切口愈合的影响。方法将下腹部横切口手术中不缝合皮下脂肪的243例与缝合皮下脂肪的445例进行比较。结果不缝合皮下脂肪的切口脂肪液化及感染的发生率较缝合皮下脂肪的低,差异有显著性(P<0.05)。但两组切口裂开及皮下血肿的发生率差异无显著性(P>0.05)。结论妇科下腹部横切口手术中不缝合皮下脂肪的切口脂肪液化及感染的发生率低,建议不必常规缝合皮下脂肪。Objective To explore the impacts of non-closure of subcutaneous tissue on wound healing in lower abdominal cross incision after gynecology surgery. Methods 688 cases of lower abdominal surgery with cross incision were divided randomly into two groups： subcutaneous tissue not closed （n = 243） or subcutaneous tissue closed （n = 445）. Results The incidence of liquefaction of the subcutaneous fat and wound infection were lower in non-closure group as compared to closure group （P〈0. 05）. There was no difference between two groups in terms of incidence of wound disruption and subcutaneous haematoma. Conclusion Non-closure of the subcutaneous tissue in lower abdominal cross incision after gynecology surgery lowers the incidence of liquefaction of the subcutaneous fat and wound infection. We suggest that the traditional practice of closure of subcutaneous tissue be abolished.

关 键 词：皮下组织 切口 缝合技术 下腹部横切口 皮下脂肪 不缝合 对比研究 切口缝合 切口脂肪液化 手术中 

分 类 号：R713[医药卫生—妇产科学]