薇乔线连续双层缝合在胃肠道吻合中的应用  

Application of Double-Deck continuous stitch in gastroenteroanastomosis with Vicryi line

作　　者：周喜斌 王建睿 曹锦飞 孙建国 

机构地区：[1]榆林市星元医院第四医院普通外科,陕西719000

出　　处：《腹部外科》2011年第1期36-37,共2页Journal of Abdominal Surgery

摘　　要：目的探讨薇乔线连续双层缝合法在胃肠道吻合中的应用效果。方法回顾性分析2005年5月至2010年5月使用薇乔线连续双层缝合行胃肠道吻合术160例（研究组）和同期应用传统丝线间断缝合术112例（对照组）的临床资料。观察所有病人住院期间吻合口出血、瘘的发生例数，及出院后6个月内部分病人胃镜随访诊断吻合口炎症、吻合口狭窄的例数。结果对照组吻合口出血（包括远期和近期）、吻合口瘘、吻合口炎症、吻合口狭窄发生率均高于研究组，差异具有统计学意义（P〈0．01）。结论对大多数胃肠道重建术，薇乔线连续双层缝合法安全、有效，有利于吻合口愈合，可简化手术，缩短手术时间。Objective To investigate the application of Double-Deck continuous stitch in gastroenteroanastomosis with Vicryl line. Methods The clinical data of 160 cases receiving gastroenteroanastomosis by Double-Deck continuous stitch with Vieryl line（experimental group）vs 112 cases receiving gastroenteroanastomosis by interrupted suture method with traditional silk at the same period （control group）were retrospectively analyzed from May 2005 to May 2010. Anastomotic bleeding and fistulae during the hospitalization, and anastomotic inflammation and anastomotic stenosis within 6 months diagnosed by gastroscopy during a follow-up period of 6 months after discharge were observed. Results The incidence of anastomotie bleeding（include short term and long term）, anastomotic fistulae,anastomotic inflammation, anastomosis stricture in control group was higher than in experimental group with the difference being statistically significant（P〈0.01 ）. Conclusion For most gastrointestinal revascularization,Double-Deck continuous stitch with Vicryl line is safe, effective,and can simplify the surgical procedures and shorten operating time.

关 键 词：可吸收性植入物 缝合技术 胃肠道 

分 类 号：R656.61[医药卫生—外科学]