聚羟基乙酸线全层缝合会阴侧切伤口的临床观察  

The Clinic Observation of the Whole Layer Lateral Perineotomy with Dexon II Thread

作　　者：刘恩强[1] 刘玉珍 

机构地区：[1]天津第一中心医院,邮政编码300192

出　　处：《天津护理》1999年第6期234-235,共2页Tianjin Journal of Nursing

摘　　要：本文选择1997年10月至1998年5月阴道分娩行会阴侧切缝合术产妇60例,其中用聚羟基乙酸线(2—0 DexonⅡ)全层间断缝合30例,丝线间断缝合皮肤30例,将两组分娩后伤口缝合时间、出血量及会阴疼痛情况,伤口硬结、红肿及伤口感染、裂开情况作比较,并且产后60天随访,比较伤口愈合情况,了解疼痛消失时间。结果表明:用Dexon线全层间断缝合,产后疼痛轻,伤口红肿和感染发生率均较低(P<0.05),疼痛消失时间短,瘢痕形成少。从而得出采用Dexon线全层缝合会阴侧切伤口具有多种优点,完全可代替丝线间断缝合会阴侧切伤口,值得临床推广。From October 1997 to May 1998, sixty parturients were received lateral perineor-rhaphy in vaginal delivery. There were 30 cases received 2 - 0 Dexon II interrupted whole layer suture. The other 30 cases received silk thread interrupted suture. Comparing the suturing time, amount of bleeding, ache, induration, swelling and disruption of the wound, and gave follow-up survey in postpartum. Comparing the healing state and the disappearing time of ache. The result has shown that it leads to low-grade ache with Dexon thread interrupted wholelayer suture, and the wound swelling, infection incidence rate are all very low. Disappearing time is very short, scar is very small. So we can draw the conclusion that it has many advantage in whole layer lateral perineotomy with Dexon-II thread, it can replace silk thread interrupted suture. It is worthy to be introduced in clinical application.

关 键 词：会阴侧切 全层缝合术 聚羟基乙酸线 

分 类 号：R713.2[医药卫生—妇产科学]