胃肠道急腹症手术切口间断皮内缝合临床分析

目的：探讨分析胃肠道急腹症手术后切口缝合方法与术后切口并发症的关系。方法统计2012年1月至2013年6月间消化道穿孔及肠梗阻行急诊手术患者，对比分析手术切口传统丝线缝合与切口间断皮内缝合在手术时间、术后切口并发症、住院时间等方面的差别。结果皮内缝合组术后共发生切口相关并发症10例，发生率12.5％（10/80）；丝线缝合组术后共发生切口相关并发症35例，发生率20％（35/175），切口间断皮内缝合在术后切口并发症方面与传统缝合方法差异无统计学意义（ P ＞0.05）；切口间断缝合组术后住院时间为（13.54±7.32）d，传统丝线缝合组为（18.11±11.67）d，两组比较差异有统计学意义（ P ＜0.05）。结论切口间断皮内缝合应用于胃肠道急腹症手术，不增加手术并发症，显著缩短住院时间，优于传统方法。

Clinical analysis of intradermal subcutaneous suture in acute gastrointestinal tract incision

Objective To investigate the relationship between wound suture and incision complications in acute gastrointesti -nal tract incision .Methods Patients with abdominal surgery （ acute digestive tract perforation , and acute intestinal obstruction ） were divided into two groups .The differences between two suture methods were compared with the indicators such as operative time , incision complications, and hospital stay, etc.Results There were no significant differences between two groups （12.5%vs 20%） in incision complications （ P 〉0.05 ）;while there were differences in the postoperative hospital stay between two groups .The hospital stay of the intradermalsubcutaneoussuturegroup（13.54±7.32）dweresignificantlyshorterthanthatoftraditionalgroup（18.11±11.67）d（P〈0.05 ） .Conclusions Wound intradermal subcutaneous suture was superior to traditional suture in acute gastrointestinal tract inci -sion.No significant difference was found between two groups in incision complications , but wound intradermal subcutaneous suture had significantly shorter postoperative hospital stay .