腹壁切口皮下脂肪层缝合必要性的临床研究  

Clinical Analysis on Necessity of Subcutaneous Suture for Gynecologic Abdominal Incision

作　　者：郭权[1] 刘贵鹏[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110004

出　　处：《华西医学》2015年第3期473-476,共4页West China Medical Journal

摘　　要：目的针对腹壁切口是否缝合皮下脂肪层展开临床研究,探讨皮下无结腹壁缝合法在妇科腹部手术切口缝合中的临床价值。方法 2010年5月-2013年5月210例各种妇科腹部手术患者,采用随机数字表法将患者分为2组,其中皮下无结法缝合患者111例,通过腹直肌前鞘及皮下脂肪层缝合方法的改进,实现皮下脂肪层无线结;传统方法缝合患者99例;对照分析两组的切口愈合情况。结果皮下无结法缝合组1例(0.90%)发生脂肪液化,传统缝合组有7例(7.07%)切口脂肪液化发生,两组切口脂肪液化发生率的差异有统计学意义(χ2=3.883,P=0.049);经过局部及时的处理,切口均未发生院内感染,术后(15.1±4.7)d愈合,随访2个月,两组无切口并发症发生。结论皮下无结法操作简单,易实施,结果确切,皮下脂肪层不缝合完全可行,值得在临床推广。Objective To investigate the necessity of subcutaneous suture for gynecologic abdominal incision, and to prove the clinical value of suture without subcutaneous ligature. Methods We retrospectively studied the clinical data of 210 cases of gynecologic abdominal incision treated between May 2010 and May 2013. A total of 111 cases had the suture without subcutaneous ligature and 99 received the traditional suture. Results One patient（0.90%） had fat liquefaction in the group of suture without subcutaneous ligature, while 7（7.07%） of fat liquefaction were found in the traditional suture group, and the difference was statistically significant（χ2=3.883, P=0.049）. No hospital infection occurred. The healing period averaged（15.1±4.7） days, and the patients were followed up for 2 months without any complication of abdominal incision in all the patients. Conclusion Suture without subcutaneous ligature is simple and easy to practice, with precise ef ect, whicThdeserves clinical application.

关 键 词：腹部切口 脂肪组织 液化 

分 类 号：R719.8[医药卫生—妇产科学]