会阴切开皮内缝合技巧与肠线反应关系的临床研究

Study of subcuticular suture skills for perineotomy and catgut-suture-reaction

会阴切开缝合术后发生肠线反应、感染及切口裂开等并发症者屡见不鲜，为寻求一个较为理想的缝合法，作者以皮内缝合方法为研究对象，进行了缝合技巧与肠线反应关系的临床研究。对１９９４年３月至１０月在我院住院的所有经阴道分娩的采用新的会阴切开皮内缝合方法的２００例产妇（实验组）与１９９２年及１９９３年同期内住院的所有经阴道分娩的行会阴切开常规缝合法的３９９例产妇（对照组）进行比较，结果显示实验组中肠线反应发生率，Ⅱ期缝合率比对照组降低了９％与７．５％，Ｐ＜０．００１。平均住院天数缩短了５．３天，Ｐ＜０．０２５，说明本研究的可行性及实用性。可作为会阴切开缝合术的发展方向进一步总结与完善。

The post perineotomy complications such as catgut-suture-reaction, incision infection, and laceration are very common in the hospital. The purpose of this study was to find a better suture skill. The subcuticular suture skill was studied in this study. The relationship between suture skill and catgut suture reaction was analysed.200 women had vaginal delivery with perineotomy subcuticular suture who were hospitalized during 3 to 10 in 1994 were compared with 399 women with perineotomy routine suture skill who were hospitalized during the same period in 1992 and 1993. The result indicated that the incidence of cat gut suture reaction and secondary suture in the research group were 9%, 7.5% lower than that in control group (P<0.01). The average time of hospitalization was 5.3 days shorter (P<0.025). These implicate the future study on perioneotomy suture skill.Author's address Obstertric & gynecological Department, Guangzhou Military Command Guangzhou General Hospital, Guangzhou 510010.