腹部切口皮内连续缝合在妇产科手术中的探讨

目的 探讨行妇产科手术腹部切口皮内连续缝合的效果。方法将2011年12月—2012年12月行妇产科手术的病人200例腹部切口缝合法随机分为皮内缝合组（对照组）和间断缝合组各100例,观察组100例（剖宫产术80例,妇科手术20例）用4-0可吸收缝线行皮内连续缝合皮肤切口,其中疤痕腹18例;对照组100例（剖宫产术70例,妇科手术30例）用1号丝线间断缝合皮肤切口,其中疤痕腹15例,观察两组的疗效。结果观察组有99例甲级愈合和1例乙级愈合（没有疤痕者）;对照组有94例甲级愈合和6例乙级愈合,其中有2例疤痕者,差异有统计学意义（P〈0.05）;观察组术后开始下床活动时间均早于对照组,平均住院天数短于对照组;产后42 d,观察组术后腹壁遗留瘢痕的情况优于对照组,差异有统计学意义（P〈0.05）。结论妇产科手术用可吸收缝线行皮内缝合,切口疼痛轻,愈合好。无需拆线,瘢痕小更加美容,病人恢复快,可缩短住院时间。

Investigation of Abdominal Incision Continuous Intradermic Suture Applied to the Gynecologic Operation

Objective To observe the effect of abdominal incision continuous intradermic suture applied to the gynecologic operation. Methods 200 patients undergoing gynecologic surgery were randomly divided into the intradermic suture group（control group） and the interrupted suture group with 100 cases in each. 100 cases in the observation group（80 cases with cesarean section, 20 cases with gynecologic surgery） used 4-0 absorbable suture for continuous intradermic suture of the skin incision, and 18 cases had scar abdomen; 100 cases in the control group（70 cases with cesarean section, 30 cases with gynecologic surgery） used No. 1 thread for suturing the skin incision interruptedly, and 15 cases had scar abdomen. And the efficacy of the two groups was observed. Results In the observation group, 99 cases had grade A wound healing, 1 case had grade B wound healing without scar;in the control group, 94 cases had grade A wound healing, 6 cases had grade B wound healing, including 2 cases with scar, the difference between the groups was statistically significant（P0.05）. Compared with the control group, the postoperative ambulation time of the observation group was earlier, and the mean length of stay was shorter; on postpartum 42 d, the situation of postoperative abdominal scar in the observation group was better than that in the control group, the difference was statistically significant（P 0.05）. Conclusion Absorbable suture used for intradermic suture in gynecologic surgery, can make the incision pain less, the healing better, the scar smaller and the appearance prettier without taking out stitches, so the patients recover more quickly with shorter hospitalization time.