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目的观察皮下间断缝合法在妇产科下腹壁横切口中的应用效果。方法 2010年6月—2011年12月施行首次开腹手术病例1 350例,完全随机选择200例,根据皮肤层及皮下脂肪层缝合方式不同,分为皮下间断缝合组100例,皮内连续缝合组100例,监测两组皮肤及皮下脂肪层缝合时间、住院时间、术后42 d切口瘢痕大小、切口愈合情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果皮下间断缝合组缝合时间[(3.8±1.3)min]与皮内连续缝合组[(5.9±1.1)min]比较差异有统计学意义(t=12.352,P<0.05)。切口愈合不良率皮下间断缝合组2%,皮内连线缝合组15%,比较差异有统计学意义(χ2=10.86,P<0.05)。结论妇产科下腹壁横切口采用皮下间断缝合法操作简单,手术时间短,切口愈合不良发生率低,切口瘢痕呈线性美观,值得临床推广。
Objective To observe the effect of subcutaneous suture in abdominal transverse incision in obstetrics and gynecology. Methods From June 2010 to December 2011, 1,350 patients undergoing open surgery for the first time were randomly enrolled in this study. 200 cases were randomly selected. According to the different stitching methods of skin layer and subcutaneous fat layer, 100 cases were divided into two groups: Group 100 cases. The suture time of the skin and subcutaneous fat layer in the two groups, the length of hospital stay, the size of incision scar and incision healed after 42 days were monitored. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results There was significant difference in suture duration [(3.8 ± 1.3) min] and continuous intradermal suture group (5.9 ± 1.1) min between subcutaneous suture group (t = 12.352, P <0.05). Incision poor rate of subcutaneous suture group 2%, intradermal suture group 15%, the difference was statistically significant (χ2 = 10.86, P <0.05). Conclusion Obstetrics and Gynecology under the abdominal wall transverse incision with subcutaneous suture method is simple, short operation time, incision healing rate is low, the incision scar was linear and beautiful, worthy of clinical promotion.