无针缝合器闭合妇科手术切口的临床研究

目的：研究无针缝合器闭合妇科手术切口的效果。方法将200例开腹妇科手术（子宫全切术、附件区良性肿瘤手术、开腹探察术等）随机分成2组，实验组及对照组各100例。实验组采用无针缝合器闭合手术切口皮肤，对照组采用传统针线缝合切口皮肤，两组术前准备、术后护理及麻醉方式基本相同，比较两组两组缝合切口皮肤时间、皮肤伤口平均瘢痕宽度（术后2月）、术后住院天数、切口一期愈合例数及不良反应。结果无针缝合器缝合切口皮肤时间、住院天数、伤口瘢痕宽度分别为（2.56±0.87）s、（5.11±0.28）d、（0.22±0.13）cm，传统针线缝合切口皮肤时间、住院天数、伤口瘢痕宽度分别为（5.91±1.78）s、（6.13±1.82）d、（1.36±1.41）cm，差异有统计学意义（P〈0.05）。两组伤口一期愈合率均为99.0%，相比无差异（P〉0.05）。实验组患者满意度评分（7.65±1.55）分及满意人数57（57.0%），对照组满意度评分（6.33±1.54）分及满意人数35（35.0%），差异有统计学意义（P〈0.05）；而对照组不满意人数25（25.0%）高于观察组8（8.0%），差异有统计学意义（P〈0.05）。结论使用无针缝合器闭合妇产科开腹手术切口能缩短缝合切口皮肤时间；明显减少皮肤伤口瘢痕宽度，且伤口一期甲级愈合率高，满意度高，值得推广。

Clinical study of needle free suture closure gynecdogic operation incision

Objective To study the non needle suture closure of gynecologic operation incision. Methods 200 cases of gynecologi-cal operation hysterectomy, adnexal benign tumor operation, exploratory laparotomy surgery were randomly divided into 2 groups, experimental group and control group with 100 cases in each. The experimental group used needle free suture closure operation incision of skin, the control group using the traditional sewing suture of incision of skin, two groups of preoperative preparation, postoperative nursing and narcotic in basically the same way, compared with two groups of two groups of skin incision, skin wound suture time average scar width （after February）, postoperative hospital stay, wound the number of cases of healing and adverse re-action. Results No needle stapling skin incision time, hospital stay, wound scar width were respectively （2.56 ±0.87） seconds, （5.11±0.28） days, （0.22±0.13） cm, the traditional sewing suture the skin time, hospitalization days, the wound scar width were re-spectively （5.91±1.78）, （6.13±seconds1.82） days, （1.36±1.41） cm, the difference was statistically significant （P〈0.05）. Two groups of primary wound healing rate was 99%, compared with no difference （P〉 0.05）. The experimental group patient satisfaction scores （7.65±1.55）% and 57 （57%）, the number of the control group （6.33±1.54） satisfaction scores and satisfied with the number 35 （35%）, the difference was statistically significant （P＆amp;lt; 0.05）; while the control group was not satisfied with the number 25 （25%） higher than the observation group 8 （8%）, the difference was statistically significant （P＆amp;lt; 0.05）. Conclusion The use of non needle suture closure of Obstetrics and gynecology laparotomy incision suture operation can shorten the time significantly re-duced skin incision;wound scar width, and the wound a Class-A healing rate is high, high satisfaction, worthy of promotion.