剖宫产后美容缝合技术对切口愈合及瘢痕形成的影响分析  

Analysis of Effect with Wound Healing and Scarring by Beauty Stitching Technique after Cesarean Section

作　　者：周洪梅 张魁[2] ZHOU Hong-mei;ZHANG Kui(Department of Obstetrics and Gynecology,Xiangyang NO.1 People’s Hospital,Xiangyang 441000,Hubei,China;Department of Gynecology & Pediatrics,Chinese People's Liberation Army No.451 Hospital,Xi’an 710068,Shaanxi,China)

机构地区：[1]襄阳市第一人民医院妇产科,湖北襄阳441000 [2]中国人民解放军第四五一医院妇儿科,陕西西安710068

出　　处：《中国美容医学》2018年第2期47-49,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析剖宫产后美容缝合技术对切口愈合及瘢痕形成的影响。方法:将本院2016年7月-2017年7月收治的90例产妇进行研究,按照患者入院ID号随机分为观察组和对照组,每组45例。对照组采用常规缝合技术;观察组采用美容缝合。观察两组产妇美容缝合效果、切口愈合质量、术后遗留瘢痕和切口线结反应情况。结果:观察组总有效率(93.3%)明显高于对照组(77.8%),差异具有统计学意义(P<0.05)。观察组切口愈合质量显著改善,甲级质量明显高于对照组,差异具有统计学意义(P<0.05)。观察组切口瘢痕增生例数(4.4%)明显低于对照组(26.7%),并且瘢痕宽度、瘢痕最薄厚度显著低于对照组,差异具有统计学意义(P<0.05)。观察组切口线结反应明显改善,0度线结反应显著高于对照组,差异具有统计学意义(P<0.05)。结论:剖宫产后应用美容缝合技术,美容效果显著,可有效改善切口愈合质量,减少术后遗留瘢痕,降低切口线结反应,值得推广应用。Objective To study effect with wound healing and scarring by beauty stitching technique after cesarean section.Methods90cases of puerpera were divided into the observation group and the control group,45cases in each group.The control group was sutured with routine suture,and the observation group was treated with cosmetic suture.The effects of cosmetic suture,healing quality of incision,scar after operation and line knot reaction in the two groups were observed.Results The total effective rate of the observation group(93.3%)was significantly higher than that of the control group(77.8%),and the difference was statistically significant(P<0.05).The quality of incision healing was significantly improved in the observation group,and the grade a quality was significantly higher than that of the control group(P<0.05).The number of cicatricial hyperplasia in the observation group(4.4%)was significantly lower than that of the control group(26.7%),and the width of scar and the thinnest thickness of scar were significantly lower than that of the control group(P<0.05).The response of the observation group was significantly improved,and the0degree line junction reaction was significantly higher than that of the control group(P<0.05).Conclusion The application of cosmetic suture after cesarean section has significant cosmetic effect,which can effectively improve the quality of incision healing,reduce postoperative scar and reduce the reaction of incisional nodes,and is worthy of popularization and application in clinic.

关 键 词：剖宫产 美容缝合技术 切口愈合 瘢痕 

分 类 号：R622[医药卫生—整形外科]