剖宫产170例腹壁缝合临床探讨

Clinical study of abdominal wall suture in 689 cases of cesarean section

目的:探讨剖宫产腹壁缝合的临床意义。方法:将产妇分两组,改良组70例缝合腹膜,皮肤皮内缝合。对照组100例,不缝腹膜,皮肤外缝三大针。结果:改良组术后腹壁伤口渗出液少,住院时间短,两组比较有显著差异。结论:改良组术后恢复快,粘连少,腹壁伤口渗出液少,腹部伤口平整、疤痕轻、住院时间短、医疗费用低值得推广。

Objective：To compare the different abdominal wall sutures in cesarean section. Methods：The pregnant women were divided into two groups. The improved group （70 cases） received peritoneal suture and intradermal suture and the control group （100 cases） was performed 3 stitches of external skin suture without suturing peritoneum. Results：Wound exudation in the improved group was less,and the hospital stay time was shorter compared with the control group. There was significant difference between the two groups. Conclusion：The improved suture has rapid postoperative recovery,fewer adhesions,less abdominal wound exudation with abdominal smoothing wound,slight scar,short hospital stay and lower medical cost,which is worth promoting.