不同腹壁缝合方式对回肠造口回纳切口愈合的影响  

Effects of different abdominal wall sutures on incision healing of loop ileostomy closure

作　　者：李立军[1] 李迎春[1] 王小冬[1] Li Lijun Li Yingchun Wang Xiaodong(Department of General Surgery, Taizhou People＇s Hospital, Taizhou 225300, Chin)

机构地区：[1]南京医科大学附属泰州市人民医院,江苏泰州225300

出　　处：《中国实用医刊》2017年第19期87-89,共3页Chinese Journal of Practical Medicine

摘　　要：目的比较回肠造口回纳不同腹壁切口缝合方式对切口愈合的影响。方法回顾性分析行回肠造口回纳术的患者84例，随机分为对照组和实验组，每组42例。对照组采用传统分层关腹方法，未留置皮下引流管；实验组采用全层连续缝合加皮下负压引流。比较两组患者切口愈合效果及围术期并发症发生率。结果两组患者切口裂开、切口疝、切口窦道发生率比较差异未见统计学意义（P〉0.05）；实验组关腹时间、术后住院时间较对照组缩短，切口感染、脂肪液化发生率明显低于对照组（P〈0.05）。结论全层连续缝合加皮下负压引流可促进回肠造口回纳切口的愈合，远期疗效尚需进一步研究。Objective To compare the effects of different abdominal wounds closure on the incision healing of loop ileostomy closure. Methods In this retrospective study, 84 patients who underwent loop ileostomy closure operation were admitted, and were randomly divided into experiment group （42 cases） and control group （42 cases）. The patients in the control group underwent layer interrupted suture without subcutaneous drainage tube, while those of experiment group underwent full-thickness continuous suture combined with subcutaneous negative pressure drainage. The wound healing and complications incidence in perioperative period were compared between the two groups. Results There was no significant difference of dehiscence of wound, incision hernia or incision fistula between the two groups （ P 〉 0. 05 ）. However, the duration of abdominal closure, incidence of abdominal incision infection, fat liquefaction and postoperative hospital stay were significant shorter or lower in experiment group than those in control group （P 〈 0. 05 ）. Conclusions The application of full-thickness continuous suture combined with subcutaneous negative pressure drainage for abdominal closing can promote wound healing of the loop ileostomy closure. However, further studies will be needed to identify the long-term effect.

关 键 词：回肠造口回纳 切口缝合 切口愈合 

分 类 号：R735.37[医药卫生—肿瘤]