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| 横切口腹膜外单层缝合用于妊娠期化脓性阑尾炎治疗 | |
| 引用本文： | 薛玉珍,吕会增,陈图锋,郑宗珩,周如建.横切口腹膜外单层缝合用于妊娠期化脓性阑尾炎治疗[J].新乡医学院学报,2011,28(3):314-316. |
| 作者姓名： | 薛玉珍 吕会增 陈图锋 郑宗珩 周如建 |
| 作者单位： | 1. 南方医科大学附属何贤纪念医院妇产科,广东广州,511400 2. 广州医学院港湾医院普外科,广东广州,510700 3. 中山大学附属第三医院胃肠外科,广东广州,510630 |
| 基金项目： | 广东省医学科学技术研究基金资助项目(编号:2010283) |
| 摘 要： | 目的探讨横切口腹膜外单层缝合法应用于妊娠期化脓性阑尾炎的临床效果。方法 2006年1月至2010年11月3所大学附属医院收治129例妊娠期化脓阑尾炎患者,分为2组,观察组68例采用横切口腹膜外单层缝合法行阑尾切除术,对照组61例常规麦氏切口(或横切口)分层缝合法行阑尾切除术,对2组患者的手术时间、术后疼痛程度、术后流产或早产率、术后切口感染率、术后住院时间等指标进行观察比较。结果观察组与对照组术后流产或早产率比较差别无统计学意义(P>0.05)。观察组可明显减少手术时间(P<0.01),降低患者术后切口疼痛、切口感染率及术后住院时间(P<0.01)。2组患者在住院治疗期间均未发生切口出血、切口疝、肠粘连、肠梗阻等并发症。结论横切口腹膜外单层缝合法在妊娠期化脓性阑尾炎切除术中具有操作简单、安全、并发症少等优点,值得推广。 |
| 关 键 词： | 阑尾炎 妊娠 阑尾切除术 缝合技术 |
Transverse abdominal incision sutured by single layer extraperitoneal suture for purulent appendicitis during gestational period |
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| XUE Yu-zhen,LV Hui-zeng,CHEN Tu-feng,ZHENG Zong-heng,ZHOU Ru-jian.Transverse abdominal incision sutured by single layer extraperitoneal suture for purulent appendicitis during gestational period[J].Journal of Xinxiang Medical College,2011,28(3):314-316. | |
| Authors: | XUE Yu-zhen LV Hui-zeng CHEN Tu-feng ZHENG Zong-heng ZHOU Ru-jian |
| Institution: | XUE Yu-zhen1,LV Hui-zeng2,CHEN Tu-feng3,ZHENG Zong-heng3,ZHOU Ru-jian2(1.Department of Obstetrics and Gynecology,Hexian Memorial Hospital,the Affiliated Hospital of Nanfang Medical University,Guangzhou 511400,Guangdong Province,China,2.Department of General Surgery,the Gangwan Hospital Affiliated to Guangzhou Medical University,Guangzhou 510700,3.Department of Gastrointestinal Surgery,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China) |
| Abstract: | Objective To investigate the clinical effect of transverse abdominal incision sutured by single layer extraperitoneal suture for purulent appendicitis during gestational period.Methods During January 2006 to November 2010,129 patients with suppurative appendicitis from three universities' affiliated hospital were divided into observation group and control group.Sixty-eight patients in observation group were taken transverse incision sutured by single layer extraperitoneal suture after appendectomy.Sixty-one... |
| Keywords: | appendicitis gestational period appendectomy suture techniques |
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