钉合与缝合技术应用于骨科腕手踝足部手术切口中的疗效比较  

Compare stapling and suture techniques used in orthopedic wrist hand ankle foot incision efficacy

作　　者：李蓉[1] 李海波[1] 苟永胜[1] 

机构地区：[1]双流县第一人民医院,四川成都610200

出　　处：《中国伤残医学》2014年第4期10-12,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：成都市卫生局青年科研项目;项目编号:201143

摘　　要：目的:比较钉合与缝合技术应用于骨科腕手踝足部手术切口中的疗效观察,探讨一次性皮肤缝合器在骨科腕手踝足部皮肤切口中的应用价值。方法:选择150例骨科腕手踝足部手术病人,随机分为2组,治疗组75例,术中采用1次性皮肤缝合器缝合切口,对照组75例采用常规丝线缝合切口。分别对2种缝合方法在切口感染、切口裂开、炎性反应(红肿)、分泌物、坏死、过敏反应、术后3月切口"蜈蚣症"的发生率,缝合速度,拆线(钉)时的疼痛程度,9项指标进行统计学分析。结果:2组在缝合速度,拆线(钉)时的疼痛程度,术后3个月切口"蜈蚣症"的发生率方面差异显著(P<0.01),治疗组在拆钉时比对照组拆线时有较高的疼痛程度;但有更快的缝合速度;术后3月随访,切口瘢痕"蜈蚣症"的发生率为0%,对照组为25.33%;2组在切口感染、切口裂开、炎性反应(红肿)、分泌物、坏死、过敏反应方面无显著差异。结论:钉合技术(1次性皮肤缝合器)相对于缝合技术(常规丝线)在缝合骨科腕手踝足部皮肤切口有更快的缝合速度及更好的美容效果,有较大的应用价值。Objective：To compare stapling and suture techniques used in orthopedic wrist hand ankle foot incision efficacy ,To explore the application value of disposable skin closure in orthopedic wrist hand ankle foot incision of the skin incision ,Methods：150 cases of pa-tients with wrist hand ankle foot parts of the surgery , were randomly divided into treatment group 75 cases using a disposable skin stapler , 75 cases of the control group using conventional suture the incision .The incision infection, wound dehiscence, inflammation （swelling）, secretions, necrosis, allergic reactions, 3 months after the incision centipede disease incidence , stitching speed, the degree of pain stitc-hing, nine indicators were statistically analyzed .Results：There were significantly difference in degree of pain ,centipede disease incidence and the speed of stitching（P 〈0.01）, the treatment group had a higher degree of pain;faster suture;the centipede disease incidence was 0%after the follow-up,however,it was 25.33%in the control group;two groups were no significant differences in the incidence of infec-tion, dehiscence,inflammatory reaction （swelling）, secretions, necrosis, allergic reactions.Conclusion：Stapling techniques（disposable skin staplers ） were faster the suture speed and better cosmetic results than suture techniques （ silk） in orthopedic wrist hand ankle foot inci-sion.

关 键 词：钉合 骨科 腕部 手部 踝部 足部 缝合 切口 

分 类 号：R6[医药卫生—外科学]