全层切口缝合在上腹部手术中的应用

目的观察上腹部手术切口全层丝线间断缝合关腹方法在临床中应用的效果。方法2004年4月起至2009年1月对386例（新法组）贲门癌、胃癌等手术采用丝线间断全层关腹技术，并与2004年前的病例进行对照（对照组）分析。结果两组患者年龄、性别、并发症比较差异无统计学意义。新法组I期愈合率98．8％，对照组I期愈合率为96．2％，差异有统计学意义。主要并发症切口裂开和感染的发生率，新法组为0．8％、1．6％，旧法组为2．5％、4．3％，差异有统计学意义。结论全层丝线缝合切口愈合良好，便于操作，经济实用，适用于各种上腹部手术。

Objective To investigate application of abdominal closure technique by all layer in epigastric abdominal operation and evaluate the significance. Methods 386 cases with carcinoma of gastric cardia or stomach operation between Apr 2002 and Jan 2009 were subjected to single layer closure with non absorbable chorda serica chirurgicalis. The clinic data and some results of fouow-up were contrasted to the cases with carcinoma of gastric cardia or stomach before Apr 2004. Results There were no statistical difference in general status between two groups. However, in new method group, rate of primary healing, dehiscence of wound, infection of infection was 98.8% ,0. 8% , 1.6% respectively. In old group, rate of primary healing, dehiscence of wound,infection of infection was 96. 2% , 2. 5 % ,4. 3 % respectively. There were statistical difference between them. Meanwhile, There were statistical difference in closure time between the new method group （14 ± 4 min）and the old method group（ 16 ± 5 min）. Conclusion All layer closure of an abdominal incision could be effective, safe, economic and fast.