摘要
目的：探讨在急性阑尾炎手术中应用可吸收线缝合切口（连续皮内缝合皮肤）的价值。方法：试验组88例使用POLY-SORBTM（4-0）可吸收线缝合切口;对照组95例使用传统丝线间断缝合切口。记录两组患者手术前后的临床参数及术后并发症的发生例数,对数据进行统计学分析。结果：试验组手术时间（44.49±6.50）min,术后最高体温（37.53±0.47）℃;对照组手术时间（43.79±6.80）min,术后最高体温（37.59±0.37）℃,两组差异无统计学意义（P〉0.05）。试验组术后住院日数（3.20±0.87）d;对照组术后住院日数（6.65±1.72）d,两组差异有统计学意义（P〈0.05）。术后随访6~12个月,试验组伤口感染1例,伤口慢性疼痛2例,伤口排异反应1例;对照组伤口感染4例,伤口慢性疼痛10例,伤口排异反应9例。两组术后伤口感染率差异无统计学意义（P〉0.05）,但伤口慢性疼痛和排异反应发生率的差异有统计学意义（P〈0.05）。结论：用可吸收线缝合急性阑尾炎手术切口安全、有效,不会增加术后伤口感染率,可以缩短住院时间,使伤口愈合更美观,减少术后伤口慢性疼痛。
Objective：To approach the value of subcuticular suture with absorption line which used in the acute appendicitis operative incision.Methods： A POLYSORBTM（4-0） absorbable stures was used to sutur the incision in the experimental group with 88 cases;and traditional silk was used in the control group with 95 cases.By the comparison of the records of the preoperative and postoperative clinical parameters and postoperative complications within two groups.Results： The operation time was（44.49±6.50） minutes and the highest postoperative temperature was（37.53±0.47）℃ in the experimental group.The operation time is（43.79±6.80） minutes and the highest postoperative temperature is（37.59±0.37）℃ in the control group.There was no statistical difference between the two groups（P0.05）.The hospital day was（3.20±0.87） days in the experimental group and it was（6.65±1.72） days in the control group.There was a statistical difference between two groups（P0.05）.All the patients had been followed up for 6-12 months.There was 1 case of wound infection,2 cases of chronic wound pain and 1 case of rejection in the experimental group.There was 4 cases of wound infection,10 cases of chronic wound pain,9 cases of rejection in the control group.There was no statistical differences between the two groups in the incidence of postoperative wound infection（P0.05）,but there were statistical differences in the incidence of chronic wound pain and rejection（P0.05）.Conclusions： The use of adsorbable stures is safe and effective in incision suturation of acute appendicitis.It may not raise the incidence of postoperative wound infection,and can shorten hospital time,have a more beautiful wound healing,and reduce postoperative chronic wound pain.
出处
《中国临床医学》
2010年第5期677-678,共2页
Chinese Journal of Clinical Medicine
关键词
急性阑尾炎
外科手术
皮内缝合
可吸收线
Acute appendicitis
Surgery
Subcuticular suture
Absorption line
