剖宫产术切口两种不同缝合方法的比较  

Comparison of two different ways of suturing for cesarean section incision

作　　者：王琳[1] 

机构地区：[1]宁波大学医学院附属医院妇产科,315000

出　　处：《中国医药》2013年第7期971-972,共2页China Medicine

摘　　要：目的探讨2种不同缝合方法应用于产妇剖宫产术切口的影响及其特点。方法选取2009年3月至2011年6月于我院行剖宫产术产妇120例，完全随机分为双层缝合组和单层缝合组，各60例，双层缝合组采用第一层连续缝合联合第二层连续褥式缝合，单层缝合组采用单层连续锁边缝合法，对2组患者手术失血量、盆腹腔粘连、拆线时子宫切口愈合情况和术后产妇对伤口愈合情况满意度进行比较。结果双层缝合组和单层缝合组失血量无统计学差异（P〉0．05），双层缝合组和单层缝合组重度粘连发生率分别为6．7％（4／60）和25．0％（15／60），腹壁粘连发生率分别为16．7％（10／60）和43．4％（26／60），2组比较均有统计学差异（P〈0．05）。在拆线时切口愈合方面，双层缝合组和单层缝合组间差异无统计学意义（P〉0．05），但双层缝合组满意度83．3％（50／60）明显优于单层缝合组66．7％（40／60），组间差异有统计学意义（P〈0．05）。结论双层缝合方法可降低盆腹腔粘连的发生率并提高患者的满意度，值得临床推广应用。Objective To explore the influence of two different ways of suturing for cesarean section inci- sion. Methods Totally 120 patients with cesarean section in our hospital from March 2009 to June 2011 were se- lected and randomly divided into double suture group （ group A） and single suture group （ group B ） （ n = 60 each）. The patients in group A received the continuous suture with the first layer and combined mattress suture with second layer; the patients in group B only received continuous suture. The operation blood loss, abdominal and pelvic adhe- sion, the situation of wound healing of incision and satisfaction of puerperal women in the two groups were com- pared. Results There was no significant difference in blood loss in the two groups （P 〉 0.05）. The rate of severe adhesions in group A and group B was 6.7% （4/60） and 25.0% （15/60）. The rate of abdominal wall adhesion was 16.7% （10/60） and 43.4% （26/60） （P 〈0.05）. The situation of wound healing of incision of the patients in the two groups was on the same condition. The satisfaction of incision suture situation in the A group was 83.3% （50/ 60） and it was 66.7% （40/60） in B group （ P 〈 0.05 ）. Conclusion Double-layer suture method can reduce the incidence of abdominal and pelvic adhesion and improve patients satisfaction.

关 键 词：剖宫产 单层缝合方法 双层缝合方法 

分 类 号：R719.8[医药卫生—妇产科学]