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自1982年6月以来,我对240例会阴切口采用一线二结连续皮内缝合法,伤口愈合好,无一例感染,切口内无线结,肠线异物反应少,既减轻了病员痛苦,又减少了并发症的发生。此法具有操作简便,迅速、稳妥之优点,弥补了分层间断缝合的不足。会阴切口缝合术通常采用“O”号肠线连续缝合阴道粘膜,间断缝合肌层和皮下脂肪,最后用丝线缝合皮肤。上法在缝合时,如对合欠佳,易留死腔,形成血肿,肠线结多吸收不好,病员行坐疼痛,有的还需行剪除,拆线后伤口Ⅱ期愈合留有瘢痕。笔者针对上述缝合术的缺点,对行会阴切开内缝合术分娩的病例,其会阴切口采用“O”号肠线连续缝合阴道粘膜、肌层、皮下脂肪和皮肤。伤口闭合好,伤口内无
Since June 1982, I had 240 cases of perineal incision with first-line and second-line continuous intradermal suture, wound healing is good, no case of infection, incision within the wireless node, gut less foreign body reaction, both to reduce patient pain and reduce The occurrence of complications. This method has the advantages of easy operation, rapid, safe, to make up for the lack of stratified interrupted suture. Perineal incision suture usually “O” gut continuous suture vaginal mucosa, intermittent suture muscle and subcutaneous fat, and finally suture the skin with silk. On the law in the suture, such as poor co-operation, easy to die cavity, the formation of hematoma, gut knot more absorption is not good, the patient sitting pain, and some need to be cut, stitches wound healing after suture . The author aimed at the shortcomings of the above suture, the line of perineal incision suture delivery cases, the perineal incision with “O” gut continuous suture vaginal mucosa, muscle, subcutaneous fat and skin. Wound closed well, no wound