逆行减张缝合法在腹部外科中的应用

目的：探讨逆行减张缝合法在腹部外科的临床效果。方法：回顾分析152例腹部手术临床资料，其中应用逆行腹部减张缝合法79例。常规方法行腹部减张缝合73例，并进行对比。结果：两组缝合所需时间基本相同，均未发生切口裂开。但常规减张缝合法刺伤术者手部两次，致患者腹部皮下脂肪液化及部分皮肤坏死1例；逆行减张缝合无副损伤。结论：逆行腹部减张缝合法对患者和术者均有良好的保护作用，简便实用。

Clinical application of retrograde tension suture of abdomen

Objective：To evaluate the clinical outcomes of retrograde tension suture of abdomen. Methods：The clinical material of 152 cases were reviewed. Among them, 79 cases received retrograde tension suture, 73 cases received routing tension suture. Results：The suturing time of the two groups was mostly the same, and there were no wound dehiscence in both groups. In the routing tension suture group, the operator was stabbed twice, and a patient＇s abdomen hypodermic fat became liquefaction and its skin partly became putrescence for the pressure of the rubber tube of the tension suture. The retrograde tension suture did not have any side-damnification. The retrograde tension suture is much safer, and can decrease the chances of the side-damnification brought to the operators and patients obviously. Concluslon：The retrograde tension suture of abdomen can protect both the operators and patients very well. It is more simply and more practical.