抗菌薇乔缝线在预防阑尾切除术切口感染的探讨

Study on the Role of the Coated VICRYL Plus Antibacterial Suture in the Prevention of Infection of Appendectomy Incision

目的:探讨在阑尾切除术中应用抗菌薇乔缝线以减少阑尾切口感染的可能性。方法:将我院2007年4月至2009年3月所有阑尾切除术病例1425例随机分为抗菌薇乔缝线组和丝线组,比较其切口感染发生率。结果:统计中按阑尾未穿孔、阑尾穿孔以及总计分别计算切口感染率,在抗菌微乔线组感染率分别为0.17%、0.72%、0.28%,丝线组分别为1.54%、7.81%、2.67%,两组间分别予以X2检验,其P值均小于0.01,具有显著性差异。结论:缝线是辅助产生切口感染的一个危险因素,在阑尾切除术中使用抗菌薇乔缝线可以显著降低切口感染率。

Objective：To investigate the application of Coated VICRYL Plus Antibacterial suture in order to reduce the possibility of infection of appendectomy incision.Methods：Hospital from April 2007 to March 2009 appendectomy patients in all 1425 cases were randomly divided into Coated VICRYL Plus Antibacterial suture group and silk group,compared to the incidence of incision infection.Results：The statistics are not in accordance with perforated appendicitis,perforated appendicitis,as well as calculation of the total,respectively,incision infection,the infection rate in the Coated VICRYL Plus Antibacterial suture group were 0.17%,0.72%,0.28%,silk group were 1.54%,7.81%,2.67% between the two groups separately X^2 test,the P value of less than 0.01,with a significant difference.Conclusion：The suture is to assist the incision produced a risk factor for infection in appendectomy,Coated VICRYL Plus Antibacterial suture can be used in a significant reduction in incision infection rates.