羊腹膜缝合与不缝合对切口愈合影响的对照研究  

CONTRAST STUDY BETWEEN GOATS PERITONEAL SUTURE AND NON-SUTURE ON INCISION HEALING

作　　者：尹超英[1] 亓健[1] 刘青华[1] 顾依群[1] 

机构地区：[1]临沂市人民医院

出　　处：《临沂医学专科学校学报》1997年第4期271-273,共3页Journal of Linyi Medical College

摘　　要：目的：探讨腹膜不缝合及大网膜损伤对腹部切口愈合的影响。方法：取8只山羊，随机分为A组（A1组A2组各2只）和B组（B1组B2组各2只）。A组和B组各取6处切口，均切开腹膜。A组；缝合腹膜（A1组不损伤大网膜，A2组切开缝合大网膜），B组：不缝合腹膜（B1组不损伤大网膜，B2组切开缝合大网腹），腹壁其他各层常规缝合。结果：术后10天，两组间皮细胞均修复良好。术后半年，A组炎症反应明显，疤痕重；B组无炎症反应，疤痕轻；大网膜损伤组共6例，粘连3例；无损伤组6例，均无粘连。结论：不缝合腹膜不影响间皮修复，并能减轻疤痕形成及炎症反应；大网膜损伤是术后切口粘连的重要原因。Aim:To explore the influences on abdominal incision healing whe treated by peritoneal non-stuture and/or complicated injuries of greater omentum. Method: 8 goats had been divided into A and B groups randomly, both had 4 goats respectively,and each had been performed 6 incisions of full thickness on abdomen. In A group, peritoneals had been sutrued Cincluding A1, 2 goats with no injury on greater omentunl; A2,2 goats, with incision and then suture on greater omentum, In B group, peritoneals hadn't been sutured (including B1, 2 goats, with no injury on greater omentum; B2, 2 goats, with incision and then suture on greater omentum.) All other layers on abdominal incisions had been sutured rouinely,Result:The interstitial cells on both groups grew and repaired well after 10 days of postoperation. After half of the year. there were more apparent inflammation reactions and severe scars in A group than in B group. And the adhesions (3 cases) occurred in the group with injuries of greater omentum (6 cases), but no adhesion occurred in the other group. Conclusion:Non-suture peritoneal don't influence the repair of interstitial cells,it can also lessen the inflammation reaction and the formation of scars. Greater omentum injury is the improtant cause of postoperative inci sion adhesion.

关 键 词：不缝合腹膜 大网膜损伤 切口愈合 粘连 

分 类 号：R656[医药卫生—外科学]