腹部横切口不同缝合方式的效果比较

目的 比较腹部横切口不同缝合方式的效果.方法 将本院2008年4月～2013年1月采用腹部横切口的90例手术患者分为观察组（n=45）和对照组（n=45）,观察组采用可吸收缝线分层连续缝合,对照组采用丝线间断缝合.结果 观察组患者缝合时间为（8.48±2.21）min,VAS评分为（5.33±4.43）分,切口甲级愈合42例,切口乙级愈合3例.对照组患者缝合时间为（16.37±3.39） min,VAS评分为（7.24±1.32）分,切口甲级愈合37例,乙级愈合6例,丙级愈合2例.观察组患者的缝合时间、术后切口疼痛评分以及切口愈合等级都显著优于对照组（P＜0.05）.结论 腹部横切口采用可吸收缝线分层连续缝合的效果明显优于丝线间断缝合,值得临床推广.

The effect comparation of different suture methods for abdominal trans- verse incision

Objective To compare the effect of different suture methods for abdominal transverse incision. Methods 60 patients with abdominal transverse incision in our hospital from April 2008 to January 2013 were randomly divided into observation group （n=45） and control group （n=45）.Observation group was given layered continuous suture with absorbable sutures and control group was given continuous suture with silk. Results In the observation group, the suture time was（8.48_＋2.21）min, VAS scores was （5.33＋4.43） points, wound healing was elass-A in 42 cases, elass-B in 3 cases. In the control group, the suture time was （16.37＋3.39） min, VAS scores was （7.24＋1.32） points,, wound healing was elass-A in 37 cases, elass-B in 6 cases, elass-C in 2 cases. The suture time, postoperative ineisional pain, and incision healing level in the observation group were significant better than those in the control group （P〈 0.05）. Conclusion Compared with continuous suture with silk, using absorbable sutures layered continuous suture abdominal transverse incision has a better effect. It is worthy of promotion.