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目的针对腹壁切口是否缝合皮下脂肪层展开临床研究,探讨皮下无结腹壁缝合法在妇科腹部手术切口缝合中的临床价值。方法 2010年5月-2013年5月210例各种妇科腹部手术患者,采用随机数字表法将患者分为2组,其中皮下无结法缝合患者111例,通过腹直肌前鞘及皮下脂肪层缝合方法的改进,实现皮下脂肪层无线结;传统方法缝合患者99例;对照分析两组的切口愈合情况。结果皮下无结法缝合组1例(0.90%)发生脂肪液化,传统缝合组有7例(7.07%)切口脂肪液化发生,两组切口脂肪液化发生率的差异有统计学意义(χ2=3.883,P=0.049);经过局部及时的处理,切口均未发生院内感染,术后(15.1±4.7)d愈合,随访2个月,两组无切口并发症发生。结论皮下无结法操作简单,易实施,结果确切,皮下脂肪层不缝合完全可行,值得在临床推广。
Objective To investigate whether the abdominal incision suture the subcutaneous fat layer clinical research to explore the subcutaneous incision and abdominal wall suture in the surgical incision suture of the clinical value. Methods From May 2010 to May 2013, 210 patients with various gynecologic abdominal surgery were divided into two groups according to the random number table method. Of them, 111 cases were subcutaneously sutureless, Layer suture method to improve the subcutaneous fat layer of wireless knot; 99 cases of traditional methods of suture patients; control analysis of the two groups of incision healing. Results Fat liquefaction occurred in 1 case (0.90%) in subcutaneouly sutureless group. There were 7 cases (7.07%) incision fat liquefaction in traditional suture group, the difference was statistically significant (χ2 = 3.883, (P = 0.049). No local nosocomial infection occurred after local treatment in time. After operation (15.1 ± 4.7) days, the patients were followed up for 2 months. No incision complications occurred in both groups. Conclusion No subcutaneous operation method is simple, easy to implement, the exact results, subcutaneous fat layer is not feasible and feasible, it is worth clinical promotion.