全层抽线缝合与传统分层缝合阑尾切口的对比分析  

Comparative analysis about full-thickness line pumping suture and traditional layered suture of appendectomy incision

作　　者：李博[1] 王晓丽[1] 李艳军[1] 李晨华[1] 

机构地区：[1]聊城市第二人民医院,252601

出　　处：《中国实用医药》2011年第27期16-17,共2页China Practical Medicine

摘　　要：目的比较60例阑尾切除术全层抽线缝合与传统分层缝合切口的疗效。方法将2008年4月至2011年3月我院的60例患儿分为两组,其中全层抽线缝合30例,传统分层缝合30例,比较两组患者的疗效。结果单纯性阑尾炎中,全层抽线缝合组切口感染率低于传统分层缝合组(P<0.05),两组手术时间、术后住院时间<7d的例数等方面差异无统计学意义(P>0.05)。在化脓性和(或)坏疽性阑尾炎中,全层抽线缝合组在手术时间短于传统分层缝合组(P<0.05),全层抽线缝合组术后住院时间<7d的例数多于传统分层缝合组(P<0.05),全层抽线缝合组切口感染率低于传统分层缝合组(P<0.05)。结论全层抽线缝合是一种安全、有效、快捷、切口小、创伤小、操作简便的方法,可降低术后感染及窦道形成的发生率。Objective To compare the 60 cases appendectomy pumping suture of full-thickness inci- sion was sutured with the traditional layered effect. Methods 60 patients from April 2008 to March 2011 were divided into two groups, the full-thickness line pumping suture of 30 patients, the traditional layered suture of 30 patients, the efficacy of two groups were compared. Results In simple appendicitis, wound infection rate of the full-thickness line pumping suture group was lower than the traditional layered suture group （ P 〈 0. 05 ）, two groups of surgical time, postoperative hospital stay 〈 7 d number of cases, and so no significant difference （P 〉 0. 05）. In suppurative and （or） gangrenous appendicitis, the full-thickness line pumping suture group operation time was shorter than the traditional layered suture group （ P 〈 0. 05 ）, the full-thickness line pumping suture group postoperative hospital stay 〈 7 d number of cases more than the traditional layered suture group （P 〈 0. 05 ）, wound infection rate of the full-thickness line pumping suture lower than the traditional layered suture group （P 〈 0. 05 ）. Conclusion The full-thickness line pumping suture is a safe, effective, quick, small incision, less trauma, and easy device in appendectomy incision, it may be reduce postoperative infection and the incidence of sinus formation.

关 键 词：全层抽线缝合 传统分层缝合 阑尾炎 疗效 

分 类 号：R656.8[医药卫生—外科学]