腹部正中切口皮下组织缝合与否的临床研究  

Closure of subcutaneous tissue versus non-closure in selective midline operations: a randomized controltrial

作　　者：孟繁杰[1] 李燕书[1] 马顺茂[1] 王海刚[1] 黎辉[1] 付泽娴[2] 曹斌[1] 

机构地区：[1]河北医科大学附属华北石油管理局总医院普外科,河北任丘062552 [2]河北医科大学,石家庄050011

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第1期6-8,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：中国石油华北油田科技信息处基金资助项目(2013-HB-G19-2)

摘　　要：目的探讨择期腹部正中切口皮下组织缝合与否的区别。方法采用随机对照试验方法,将2008年1月至2009年2月,河北医科大学附属华北石油管理局总医院符合纳入标准的184例患者随机分为二组,试验组90例,3-0可吸收线间断缝合皮下组织;对照组94例,不缝合皮下组织。结果术前二组患者基线情况一致。术后二组患者在切口愈合级别上,其差异无统计学意义(Z=1.308,P=0.191);在关腹时间、并发症发生后切口处理难易度上,试验组明显高于对照组,其差异有统计学意义(t=84.693 1、77.552 7,P均=0.00)。在切口愈合美观度上,试验组低于对照组,差异有统计学意义(t=50.618 0,P=0.00)。结论择期手术腹部正中切口皮下组织不缝合效果更好。Objective To investigate the effect of closure of subcutaneous tissue versus non-closure in selective midline operations. Methods A randomized control trial was conducted in patients admitted from January 2008 to February 2009. A total of 184 eligible patients were randomly divided into 2 groups.90 patients in the trial group received interrupted suture closure of subcutaneous tissue with 3-0 absorbable suture,while 94 in the control group received non-closure of subcutaneous tissue. Results The baseline characteristics of the two groups were similar. No significant differences were observed in the healing level of the incisions（ Z = 1. 308,P = 0. 191）. However,the incidence of wound complications,closure time,and difficulty level of treating complicated incision,were significantly higher in the trial group,compared with the control group（ t = 84. 693 1,77. 552 7,P all = 0. 00）. The trial group showed less favorable cosmetic result,the difference was significant（ t = 50. 618 0,P = 0. 00）. Conclusion For selective midline operations,nonclosure of subcutaneous tissuehas better effect.

关 键 词：腹部损伤 皮下组织 缝合技术 随机对照试验 

分 类 号：R656[医药卫生—外科学]