可吸收缝线全筋膜与丝线间断缝合腹部切口：效果及生物相容性的比较

背景：腹部切口的愈合除与患者自身情况相关外，还与外科医生的腹部切口缝合技术、缝合方式、缝线选择有着密切相关。 目的：比较可吸收缝线全筋膜间断缝合与丝线间断缝合腹壁切口的效果。 方法：纳入153例结直肠癌患者，其中男91例，女62例，年龄30-82岁，随机分为观察组（n=78）与对照组（n=75），选择腹部正中切口进行结直肠癌根治性手术，观察组采用抗菌薇乔可吸收缝线全筋膜间断缝合切口，对照组采用丝线分层间断缝合切口，比较两组切口缝合时间、住院时间与费用、切口感染、切口裂开、切口脂肪液化及排异反应情况。 结果与结论：观察组切口缝合时间、住院时间均少于对照组（P＜0.05）；观察组发生切口感染3例，无切口裂开，未发生排异反应；对照组发生切口感染10例、切口裂开4例、排异反应5例，两组切口感染、裂开及排异反应发生比较差异有显著性意义（P＜0.05）；两组住院费用、切口脂肪液化比较差异无显著性意义。表明抗菌薇乔可吸收缝线全筋膜间断缝合腹部切口操作简单，可促进伤口愈合，降低并发症发生，效果安全可靠。

Full fascia closure with interrupted absorbable suture and layered closure with interrupted silk suture in abdominal incision:comparison of curative effects and biocompatibility

BACKGROUND：Abdominal incision healing is not only related with the patient’s own situation, but also closely related with the surgeon＇s suture technique, suture method, choice of stitches. OBJECTIVE：To compare the absorbable sutures and silk sutures for abdominal incision. METHODS：Total y 153 colorectal cancer patients, including 91 males and 62 females, aged 30-82 years, were randomly divided into observation group （n=78） and control group （n=75）. An abdominal midline incision was made in al patients receiving radical surgery of colorectal cancer. The Vicryl suture and silk suture were respectively used in the observation and control groups for abdominal incision closure. Suturing time, length of hospital stay, incision infection, disruption of wound, fat liquefaction of wound and rejection were compared between two groups. RESULTS AND CONCLUSION：The suturing time and length of hospital stay were less in the observation group than the control group （P〈0.05）. In the observation group, there were three cases of incision infection, but no incision dehiscence and rejection occurred;in the control group, there were 10 cases of incision infection, 4 cases of incision dehiscence, and 5 cases of rejection. A significant difference was found in the incision infection, dehiscence and rejection between the two groups （P〈0.05）. Hospitalization expenses and fat liquefaction of＆amp;nbsp;incision had no difference between the two groups. these findings indicate that the Vicryl plus as an absorbable suture is simple, effective and safe that can promote wound healing and reduce complications.