不同缝合技术对子宫憩室形成的影响  

Influence of Different Suture Techniques on the Formation of Uterine Diverticulum

作　　者：曾仰珠 杨臻[1] ZENG Yangzhu;YANG Zhen(Department of Obstetrics,Chaozhou Central Hospital,Chaozhou 521000,China)

机构地区：[1]潮州市中心医院产科

出　　处：《临床医学工程》2020年第1期59-60,共2页Clinical Medicine & Engineering

摘　　要：目的探讨不同缝合技术对剖宫产产妇子宫憩室的影响。方法选取2018年1月至2018年12月于我院行剖宫产的产妇50例,分为观察组(全层连续缝合联合连续褥式缝合,25例)和对照组(子宫全层连续缝合2次,25例),比较两组产妇的围手术期指标、子宫憩室情况。结果两组产妇的手术时间、术中出血量和肛门排气时间比较差异无统计学意义(P>0.05)。观察组的子宫憩室发生率为4.00%,明显低于对照组的24.00%(P<0.05)。观察组的子宫憩室肌层厚度明显高于对照组,子宫憩室容积明显低于对照组(P均<0.05)。结论全层连续缝合联合连续褥式缝合技术应用于剖宫产产妇中,能有效降低子宫憩室发生率及发生程度。Objective To explore the influence of different suture techniques on the formation of uterine diverticulum in puerperas with cesarean section.Methods 50 puerperas undergoing cesarean section in our hospital from January 2018 to December 2018 were selected and divided into observation group(whole layer continuous suture+continuous mattress suture,25 cases)and control group(two times of whole layer continuous suture,25 cases).The perioperative indicators and uterine diverticulum were compared between the two groups.Results No statistical difference was found in the operation time,intraoperative blood loss and anal exhaust time between the two groups(P>0.05).The incidence of uterine diverticulum in the observation group was 4.00%,significantly lower than 24.00%in the control group(P<0.05).The myometrial thickness of uterine diverticulum in the observation group was significantly higher than that in the control group,and the uterine diverticulum volume was significantly lower than that in the control group(both P<0.05).Conclusions Whole layer continuous suture combined with continuous mattress suture in puerperas with cesarean section can effectively reduce the incidence and degree of uterine diverticulum.

关 键 词：全层连续缝合 连续褥式缝合 子宫憩室 剖宫产 

分 类 号：R651.11[医药卫生—外科学]