肝手术反L型切口皮下负压吸引美容缝合  

Clinical effect of subcutaneous negative pressure suction with anti L incision in liver surgery

作　　者：梁大宁 陈杰明 柯昌能 

机构地区：[1]深圳市龙华新区中心医院烧伤整形外科,广东深圳518110

出　　处：《局解手术学杂志》2017年第2期146-148,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨肝手术患者采用反L型切口皮下负压吸引美容缝合的临床效果。方法随机选取2015年3月至2016年4月因肝疾病于我院普外科经开腹进行肝手术的患者140例,其中70例患者选用皮下负压吸引美容缝合(观察组),另70例采用常规逐层缝合(对照组);对2组患者缝合时间、术后切口愈合情况进行观察分析。结果观察组患者关腹缝合时间、住院时间与对照组比较明显缩短,差异具有统计学意义(P<0.05)。结论皮下负压吸引美容缝合可缩短临床缝合时间,降低切口脂肪液化及感染的发生率,同时可保证切口的美观。Objective To explore the clinical effect of subcutaneous negative pressure suction cosmetic suture with anti L incision in liver surgery. Methods A total of 140 patients who received liver surgery in general surgery department of our hospital from March 2015 to April 2016 were randomly selected, of which 70 cases received cosmetic suture with negative pressure drainage （observation group）, the other 70 cases treated with conventional suture（ control group）. The repair times,the healing of the incision of two groups were observed and ana- lyzed. Results Compared with the control group, the repair time and hospital stays of patients in observation group were significantly shorter than those of the control group, and the differences were statistically significant （ P 〈 0.01 ）. Conclusion Cosmetic suture with negative pres- sure drainage is effective to shorten the repair time, reduce the incidence of incision fat liquefaction and infection, while ensuring the aesthetic level of the incision.

关 键 词：手术切口 缝合方式 美容缝合 临床观察 反L型切口 肝手术 

分 类 号：R62[医药卫生—整形外科]