可吸收缝线分层连续缝合在腹部切口关闭中的应用

The clinical application of countinuous layer layer suturing with absorbable surgical suture

目的比较可吸收线分层连续缝合与丝线间断缝合的疗效。方法将2005年6月至2009年12月行腹部手术患者随机分为两组,由相同的人分别采用可吸收线分层连续缝合及丝线间断缝合,比较观察两组患者的切口愈合情况。结果可吸收线分层连续缝合组有3例脂肪液化,5例切口感染,经换药很快愈合,无切口裂开及切口疝发生。丝线间断缝合组发生脂肪液化12例,感染16例,经换药,有部分需要拆除缝线,平均愈合时间大于可吸收缝线组。两组比较差异有统计学意义(P<0.05)。结论可吸收线分层连续缝合是安全、可靠的方法,能够明显减少切口感染、脂肪液化的发生,对于愈合后切口的美观也有很大帮助。

Objective To compare the curative effect of continuous layer-layer suturing with absorbable surgical suture to layer-layer intermittent silk suture.Methods All the patients of abdominal surgery admitted in our ward from June 2005 to December 2009were randomly allocated to two groups.They were operated by the same surgeons.One group used layer-layer continuous suturing with absorbable surgical suture and the other group used layer-layer intermittent suturing with silk suture.The healing of the incision of the two groups of patients was observed.Results There were 3 cases of fat liquefaction and 5 cases of infection of incision in the continuous group.All the patients healed soon after changing the dress.There were 12 cases of fat liquefaction and 16 cases of infection of incision in the intermittent group.Some patients needed to remove the suture besides changing dress.The average healing time was longer than the continuous group.Conclusion The continuous suturing with absorbable surgical suture is safe and reliable method which can obviously reduce the happening of infection of incision and fat liquefaction.It is also very helpful to the appearance of healed incision.