摘要
目的探讨横切口剖宫产皮下脂肪层不缝合术的临床效果。方法 2011年1月—2012年1月128例产妇作为观察组,对其行横切口剖宫产皮下脂肪层不缝合术;2009年12月—2010年12月128例产妇作为对照组,对其行传统的横切口剖宫产皮下脂肪层缝合术。结果观察组产妇的伤口愈合不良率(0.78%),肛门排气时间(17.9±9.1)min,切口缝合时间(4.3±1.7)min均明显低于对照组(t=18.67,11.09,P<0.01);术后42 d,观察组产妇皮下硬结发生率为0.78%显著低于对照组产妇皮下硬结发生率35.94%(χ2=11.06,P<0.01);观察组4例产妇切口瘢痕大于1 mm,对照组15例产妇切口瘢痕大于1 mm,2组差异有统计学意义(χ2=5.56,P<0.05)。结论腹部横切口皮下脂肪层不缝合术与传统手术方式相比具有手术时间短,伤口愈合不良率低,切口瘢痕小的优点,值得在临床推广。
Objective To study the clinical effective of transverse incision cesarean with subcutaneous fat layer non-closure. Methods Choosing 128 cases puerpera in our hospital from Jan. 2011 to Jan. 2012 as observation group,they were administrated transverse incision cesarean with subcutaneous fat layer non-closure; while choosing another 128 cases of puerpera from Jan. 2009 to Jan. 2010 as control group, they were administrated traditional transverse incision cesarean with subcutaneous fat layer closure. Results The wound healing fraction defective （0.78%） , the anus exhaust time （ 17.9 ± 9.1 ） min and incision suture time （4.3 ± 1.7 ） min in observe group were lower than those of control group significantly （ t = 18.67,11.09, P 〈 0.01 ）. 42 days of postoperation, the incidence of subcutaneous scleroma of observe group was 0.78,which was significantly lower than that of control group （ X2 = 11.06, P 〈 0.01 ）. The patients whose incision scar were greater than 1 mm were 4 case in observe group, which was significantly lower than that of control group（ X2 = 5.56, P 〈 0.05）. Conclusion Compared the two surgical methods, subcutaneous fat layer non-closure had a shorter operation time,lower wound healing fraction defective, and smaller incision scar, which was worth to be popularized in clinic.
出处
《中华全科医学》
2014年第3期420-421,共2页
Chinese Journal of General Practice
关键词
剖宫产
横切口
皮下脂肪层不缝合
Cesarean
Transverse incision
Subcutaneous fat layer non-closure
