剖宫产术中不缝合皮下脂肪的不同缝合方式预防脂肪液化的效果  

Effect of different suturing methods without suturing subcutaneous fat during cesarean section on preventing fat liquefaction

作　　者：李梅荣 徐紫娟 汪慧 余淑勤 LI Meirong;XU Zijuan;WANG Hui;YU Shuqin(Department of Obstetrics and Gynecology,Shangrao Municipal Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市立医院妇产科,江西上饶334000

出　　处：《当代医学》2023年第2期175-177,共3页Contemporary Medicine

摘　　要：目的探究剖宫产术中不缝合皮下脂肪的不同缝合方式预防脂肪液化的效果。方法选取2020年1—12月于本院行剖宫产术分娩的96例产妇作为研究对象,随机分为参照组和研究组,每组48例。产妇术中均不缝合皮下脂肪,参照组单层缝合伤口,研究组双层缝合伤口,比较两组切口脂肪液化发生率、切口愈合情况、子宫切口瘢痕憩室情况、不良反应发生率。结果研究组切口脂肪液化发生率低于参照组,差异有统计学意义(P<0.05)。研究组切口愈合情况优于参照组,差异有统计学意义(P<0.05)。研究组憩室形成率低于参照组,憩室容积小于参照组,憩室肌层厚于参照组,差异有统计学意义(P<0.05)。研究组不良反应发生率为6.25%,低于参照组的22.92%,差异有统计学意义(P<0.05)。结论产妇剖宫产术中行不缝合皮下脂肪的双层缝合可预防脂肪液化发生,提高切口愈合速度,避免憩室形成和其他不良反应发生,具有推广与借鉴价值。To explore the effect of different suturing methods without suturing subcutaneous fat in during cesarean section on preventing fat liquefaction.Methods 96 parturients who gave birth by cesarean section in our hospital from January to December 2020 were selected as the research subjects and they were randomly divided into the reference group and the research group,with 48 cases in each group.All parturients did not suture subcutaneous fat during operation.The reference group sutured the wound in single-layer,while the research group sutured the wound in doublelayer,the incidence of fat liquefaction,wound healing,scar diverticulum of uterine incision and the incidence of adverse reactions were compared between the two groups.Results The incidence of incision fat liquefaction in the research group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The wound healing of the research group was better than that of the reference group,and the difference was statistically significant(P<0.05).The formation rate of diverticulum in the research group was lower than that in the reference group,the volume of diverticulum was smaller than that in the reference group,and the muscle layer of diverticulum was thicker than that in the reference group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the research group was 6.25%,which was lower than 22.92%in the reference group,and the difference was statistically significant(P<0.05).Conclusion Doublelayer suture without suturing subcutaneous fat during cesarean section of parturient can prevent fat liquefaction,improve wound healing speed,and avoid diverticulum formation and other adverse reactions,which is worthy of popularization and reference.

关 键 词：剖宫产术 不缝合皮下脂肪 单层缝合 双层缝合 脂肪液化 

分 类 号：R719.8[医药卫生—妇产科学]