阴道分娩会阴Ⅱ度裂伤缝合技巧的探索  

Exploration of suturingtechniques for second-degree perineal laceration during vaginal delivery

作　　者：张俊青[1] 史晓红[1] 李秀花[1] Zhang Junqing;Shi Xiaohong;Li Xiuhua(Obstetrics and Gynecology Delivery Room,Nanjing Drum Tower Hospital,Nanjing Jiangsu 210000,P.R.China)

机构地区：[1]南京大学医学院附属鼓楼医院妇产科产房,江苏南京210000

出　　处：《中国计划生育和妇产科》2023年第12期88-91,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探索优化阴道分娩会阴Ⅱ度裂伤的缝合技术,以提高缝合效率,促进产后快速康复,减少远期不良影响。方法选取2022年10月至2023年3月在南京鼓楼医院阴道分娩的160例会阴II度裂伤的产妇作为研究对象,观察组82例,对照组78例。对照组按照常规缝法(可吸收线连续或间断缝合法)缝合,观察组采取改良式会阴II度裂伤缝合技术进行缝合,统计两组产妇会阴伤口的疼痛程度、阴道口紧张程度、舟状窝的宽度、处女膜环的对合程度及伤口愈合情况等。结果与对照组相比,观察组整体疼痛程度分级较对照组低,阴道口紧张程度较对照组更优,会阴伤口缝合完毕检查舟状窝宽度、处女膜内外环对合程度优于对照组(P<0.05),但甲级愈合率两组间差异无统计学意义(P>0.05)。结论改良式会阴II度裂伤缝合技术可减少会阴伤口的疼痛程度,避免阴道口缝合过紧,提高处女膜环的对合程度,促进会阴伤口的愈合,增加产妇舒适度。Objective Exploring the suture technique of second-degree perineal laceration during vaginal delivery.By optimizing the suture technique,we can improve the suture efficiency,promote the rapid postpartum recovery and reduce the long-term adverse effects.Methods 160 parturients with second-degree laceration of perineum who delivered vaginally in Nanjing Drum Tower Hospital from October 2022 to March 2023 were selected,82 cases in the observation group and 78 cases in the control group.The control group was sutured according to the conventional suture method(continuous or intermitent suture with absorbable suture),and the observation group was treated with modified perineal second-degree laceration suture.The pain degree of perineal wound,the tension degree of vaginal orifice,the width of fossa navicularis vagina,the matching degree of hymen ring and wound healing were to gather statistics.Resultss Compared to the control group,the observation group exhibited significantly lower overall pain levels,the vaginal opening tension in the observation group was superior to that of the control group,following perineal wound suture,there were significant improvements in scaphoid fossa width and inner and outer hymen ring overlap compared to the control group(P<0.05),while no statistical difference was observed in grade A healing rate between the two groups(P>0.05).Conclusion The modified perineal second-degree laceration suture technique can significantly reduce the pain degree of perineal wound,avoid overtight vaginal orifice suture,improve the involution degree of hymen ring,promote perineal wound healing and increase maternal comfort.

关 键 词：会阴II度裂伤 可吸收线线连续或间断缝合法 改良式会阴II度裂伤缝合技术 

分 类 号：R714.3[医药卫生—妇产科学] R719.1[医药卫生—临床医学]