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目的比较可吸收缝线分层连续缝合与丝线间断缝合两种缝合方式在腰部切口中的疗效。方法回顾性分析行腰部开放性手术的360例患者,可吸收缝线分层连续缝合(A组)180例,丝线间断缝合(B组)180例,比较两组患者切口缝合及愈合情况。结果 A组完成缝合时间小于B组,术后切口疼痛轻于B组,术后切口愈合等级优于B组,并发症少于B组,两组比较差异均有统计学意义(P<0.05)。结论可吸收缝线分层连续缝合能够节约手术时间,减轻痛苦,改善切口愈合,减少切口并发症的发生,是腰部切口安全、可靠的缝合方式。
Objective To compare the curative effect of two kinds of sutures, which are absorbable suture stratified continuous suture and interrupted silk suture, in lumbar incision. Methods A retrospective analysis of 360 patients with open lumbar surgery, absorbable suture stratified continuous suture (A group) 180 cases, intermittent silk suture (B group) 180 cases were compared between the two groups of patients with incision suture and healing. Results The suture time in group A was less than that in group B, and the postoperative incision pain was lighter than that in group B. The degree of incision healing was better than that in group B, the complication was less than that in group B, the difference was statistically significant (P <0.05) . Conclusion Absorbable suture stratified continuous suture can save operation time, relieve pain, improve incision healing and reduce the incidence of incision complications. It is a safe and reliable method for suture incision.