腹部手术切口的改良缝合438例体会  

The clinical experience of 438 cases of modified the suturing technique in the closure of abdominal operative incision

作　　者：汪贵清 李海春 汪沛 

机构地区：[1]河南省信阳市中心医院肿瘤外科,464000

出　　处：《中国实用医药》2011年第6期58-59,共2页China Practical Medicine

摘　　要：目的探讨腹部手术切口的缝合方法,优点及疗效。方法回顾性分析1999年8月至2010年9月。使用改良缝合方法438例,上腹部手术168例,下腹部手术270例。结果 438例病例中除有3例直肠癌根治术后因体质肥胖,皮下脂肪液化,经换药后痊愈。2例大肠癌梗阻,术后切口裂开,二期缝合痊愈。其余全部甲级愈合。结论该方法缝合快捷方便,手术切口瘢痕小,无任何切口并发症,很值得推广运用。Objective To explore the advantage and effect of the suturing technique in the closure of abdominal operative incision.Methods From Aug.1999 to Sep.2010,the suturing technique in the closure of abdominal operative incision were 438 cases,upper abdominal operation were 168 cases and 270 cases in lower abdominal operation.Results 3 cases of resection of colorectal cancer happened lipoliquefaction,by changing of dressing,it survived.2 cases with obstruction for colorectal carcinoma were operative incision split,needed suturing again,and the wounds healed at the first grade.Conclusion The method is shortcut and convenient,operative incision scar is small,and no complication.It is worth to wide spread and application.

关 键 词：可吸收线 连续缝合 腹膜前鞘 

分 类 号：R656[医药卫生—外科学]