不拆线连续皮内缝合法在会阴切开术的临床应用  

CLINICAL APPLICATION OF CONTINUOUS INTRADERMIC SUTURE IN EPISIOTOMY

作　　者：张秀芹[1] 李彬 

机构地区：[1]即墨市妇幼保健院,山东即墨266200 [2]青岛市崂山区中韩卫生院

出　　处：《齐鲁医学杂志》2009年第6期541-542,544,共3页Medical Journal of Qilu

摘　　要：目的探讨会阴切开后不拆线皮内缝合方法的临床应用效果。方法将400例产妇随机分为观察组和对照组,每组200例。观察组用高分子材料可吸收性缝线行皮内连续缝合术,术后不拆线,48 h出院。对照组采用传统缝合法进行缝合,术后5 d拆线出院。结果观察组切口均甲级愈合,对照组15例切口感染,两组比较差异有显著性(χ2=15.58,P<0.05)。观察组平均住院时间2 d,对照组平均住院时间5 d,两组比较差异有显著性(t=23.98,P<0.05)。结论会阴切开连续皮内缝合不拆线法具有切口愈合快、不需拆线、缩短住院时间等优点,提示会阴切开连续皮内缝合的方法有利于产妇术后的恢复。Objective To assess the effect of intradermic continuous （IC） suture on episiotomy. Methods This study was conducted in 400 lying-in women who were equally randomized to observation group and control group. Of lying-in women in observation group, the wounds were closed with absorbable suture by IC suturing, discharged at 48 hours and no stitch removal was required; of those in the control group, a traditional suturing was carried out and the stitches were taken out at five days postoperatively and discharged. Results In the observation group, the first-rate wound healing was obtained in all cases, and in the control, 15 were infected, the difference was significant （χ^2=15.58, P〈0.05）. The average stay was two days for those in the observation, and five days for those in the control, also showed significant difference （t=23.98,P〈0.05）. Conclusion The IC suturing for wounds of episiotomy is of merits of fast healing, needless stitch removal, shortening hospital stay and in favour of postnatal recovery.

关 键 词：会阴切开术 分娩 缝合技术 治疗结果 

分 类 号：R719.1[医药卫生—妇产科学]