普迪斯线在胃肠道肿瘤手术中的应用  

Applications of PDSⅡin gastrointestinal cancer surgery

作　　者：耿鹏[1] 牛跃平[1] 任潇毅[1] 杜绍先[1] 

机构地区：[1]郑州大学第二附属医院普外科,450014

出　　处：《实用医学杂志》2012年第8期1271-1272,共2页The Journal of Practical Medicine

摘　　要：目的:评价普迪斯线在胃肠道肿瘤手术中关腹的效果。方法:回顾性比较2002-2004年和2008-2010年间两组各120例患者,分析丝线分层关腹组和普迪斯线全层关腹组的数据源,比较两组患者术中情况及术后并发症的发生率。结果:全层缝合组手术耗时明显比分层缝合组少[(5.21±0.78)minvs.(10.56±0.97)min],且术中不宜发生腹膜撕裂;切口感染、脂肪液化和切口裂开两组间比较有明显差异(P<0.05);全层缝合组出现切口疝1例(0.83%),分层缝合组4例(3.33%),两组之间比较差异无统计学意义(P>0.05)。结论:胃肠道肿瘤手术中应用普迪斯线进行全层连续缝合关腹是一种安全、快捷、有效的方法,值得临床推广。Objective To evaluate the efficacy of PDS Ⅱ in abdominal closing in gastrointestinal cancer surgery. Methods Data from 120 patients from 2002 to 2004 received layered suture and 120 patients from 2008 to 2010 received single-layer suture with PDS Ⅱ were compared retrospectively. Results The operation time in single- layer suture group was less than that in layered suture group significantly [ （5.21 ± 0.78） min vs. （ 10.56 ± 0.97） min ], and peritoneal tear was rare happened. There were significant differences in the rates of incision infection, fat liquefaction, and incision disruption between the two groups （P 〈 0.05）. There were 1 case （0.83%） with incision hernia in single-layer suture group and 4 cases （3.33%） in layered suture group （P 〉 0.05）. Conclusions The application of PDS Ⅱ in single-layer suture for abdominal closing in gastrointestinal cancer surgery is a safe, efficient, and effective way.

关 键 词：胃肠肿瘤 普迪斯线 切口缝合 

分 类 号：R735[医药卫生—肿瘤]