用抗菌薇乔缝线行内减张缝合在胃肠手术伤口的运用  

Use of undermined incision relaxation suture with VICRYL antibacterial suture in gastrointestinal surgical incision

作　　者：潘屹[1] 常瑞[2] 魏正强[1] 

机构地区：[1]重庆医科大学附属第一医院胃肠外科,重庆400016 [2]重庆市中医骨科医院药剂科,重庆400016

出　　处：《重庆医学》2013年第15期1711-1712,1716,共3页Chongqing medicine

摘　　要：目的探讨用抗菌薇乔缝线行内减张缝合在腹部伤口中运用的临床效果。方法对2010年3月至2012年2月重庆医科大学附属第一医院胃肠外科A组收治住院并实施开腹手术的239例患者手术伤口行内减张缝合(内减张组),该科B组同期收治并行开腹手术的230例患者手术伤口行传统减张缝合(对照组),比较两组伤口裂开病例数、伤口感染率及住院时间。结果内减张组无伤口裂开,对照组1例,差异无统计学意义(P=0.308);内减张组发生伤口感染18例(7.5%),对照组34例(14.8%),差异有统计学意义(P=0.012);内减张组住院时间为(13.2±4.5)d,对照组为(15.4±4.5)d,两组比较差异有统计学意义(P=0.00)。结论用抗菌薇乔缝线行内减张缝合可有效预防伤口裂开,同时可降低伤口感染率及住院时间。Objective To study the effect of undermined incision relaxation suture used in the abdominal incision with the VICR- YL antibacterial suture. Methods 239 cases（group A） of abdominal surgery incision hospitalized in the First Affiliated Hospital of Chongqing Medical University from March 2010 to February 2012 were performed undermined incision relaxation suture as the un- dermined incision relaxation group,and at the same period other 230 cases（group B） of open surgery adopted conventional suture as control group. The wound dehiscence cases,wound infection rate and hospitalization time were compared between the two groups. Results No abdominal wound dehiscence occurred in the undermined incision relaxation suture group, 1 case of wound dehiscence occurred in the control group, difference showing no statistical significance （P = 0. 308）. Wound infection occurred in 18 cases （7.5 % ） in the undermined incision relaxation suture group and 34 cases（14.8 % ） in the control group with statistical difference be- tween them（P = 0. 012）. The hospitalization time was（ 13.2±4.5） d in the undermined incision relaxation suture group, which was obviously lower than（15.4±4.5） d in the control group with statistical difference between them（P=0.00）. Conclusion Using the undermined incision relaxation suture in abdominal incision with the VICRYL antibacterial suture can be effective in preventing wound dehiscence, reducing the wound infection rate and hospitalization time.

关 键 词：缝合技术 外科伤口裂开 外科伤口感染 住院时间 抗菌薇乔缝线 

分 类 号：R656.6[医药卫生—外科学]