无针缝合器在妇产科开腹手术切口闭合中的应用

目的回顾性总结我院妇产科近3年多来在妇产科开腹手术切口闭合中使用无针缝合器的临床疗效。方法回顾性分析我院300例开腹妇科手术患者，采用随机数字法平均分为实验组与对照组，分别给予无针缝合器及传统针线缝合手术切口皮肤，比较两组患者临床差异及患者满意度。结果无针缝合器与传统针线缝合方式相比较，无皮肤创伤、无蜈蚣足样瘢痕、无异物、无炎症反应、无压迫、血供良好、排出通畅、自助拆除无拆线疼痛。无针缝合器缝合切口皮肤时间（2．74±0．54）s，住院天数（5．32±0．54）d，伤口瘢痕宽度（0．22±0．55）cm明显低于传统针线缝合缝合切口皮肤时间（5．85±1．45）S，住院天数（6．43±1．98）d，伤口瘢痕宽度（5．14±2．54）cm，两组差异有统计学意义（P〈0．05）。无针缝合器满意度评分（7．89±1．68）分明显高于传统针线缝合满意度评分（6．45±1．67）分，两组差异有统计学意义（P〈0．05）。结论妇产科开腹手术行无针缝合器闭合切口有较好的临床疗效，切口对合整齐，切口一期愈合率高，愈合完整美观，患者及家属有较高的满意度，值得临床推广应用。

Application of needle-free suture for incision suture in gynecological and obstetrical laparotomy

Objective To retrospectively summarize the clinical efficacy of needle-free suture for incision suture in gynecological and obstetrical laparotomy in the department of gynecology and obstetrics in our hospital for the recent three years. Methods 300 patients who received gynecological laparotomy in our hospital were retrospectively analyzed, and randomly allocated to an experimental group and a control group according to a random number table. The two groups received needle-free suture and conventional needle suture for surgical skin incisions respectively, and clinical differences and patients＇ satisfaction were compared between the two groups. Results Compared with the conventional needle suture, the needle-free suture had no skin damages, no centipede-shaped scars, no inflammatory reactions, no pressure, good blood supply, unobstructed discharge and no pain when removing the stitches. Time of suturing skin incision via needle-free suture was （2.74 ± 0.54） seconds, hospitalization was （5.32 ± 0.54）days, and width of scars was （0.22 ±0.55） cm, which were significantly lower than those of （5.85 ± 1.45）seconds, （6.43 ± 1.98） days, and （5.14 ± 2.54）cm respectively in the conventional needle suture, and the differences were statistically significant （P 〈 0.05）. Score of satisfaction rate towards needle-free suture was （7.89 ± 1.68）; significantly higher than that of （6.45 ± 1.67） in the conventional suture, and the difference was statistically significant （P 〈 0.05）. Conclusion Needle-free suture for incision suture in gynecological and obstetrical laparotomy has favorable clinical efficacy, reflected by neat suture of incision, high recovery rate of incision at stage one, complete and satisfactory recovery, and high satisfaction rate of patients and family members, which is worthy of clinical promotion and application.