WAB生物粘合剂应用于剖宫产术的初步效果

A PRELIMINARY REPORT OF APPLICATION OF WAB BIOLOGICAL ADHESIVE IN CESAREAN SECTION

1目的 探讨 WAB生物粘合剂在剖宫产手术中的应用价值。 2方法 随机选择同期条件相同的剖宫产产妇 112例为观察组 ,5 0例为对照组。手术全部采用下腹部横切口。观察组应用 WAB生物粘合剂粘贴皮肤切缘 ,对照组采用传统丝线缝合方法缝合皮肤切缘。观察两组术后切口疼痛、甲级愈合率、平均住院时间及瘢痕形成情况 ,并进行统计学分析。3结果 观察组切口甲级愈合率 (10 0 % )高于对照组 (94% ) ,差异有显著意义 (χ2 =6 .5 8,P<0 .0 1) ;术后切口疼痛较对照组明显减轻 ,差异有显著性 (u=2 .86 ,P<0 .0 1) ;住院时间较对照组明显缩短 (u=10 .0 1,P<0 .0 1)。瘢痕形成较对照组轻。 4结论

Objective\ To evaluate the value of using WAB biological adhesive in cesarean section.\ Methods\ 162 women on whom cesarean section were performed were randomly divided into two groups: treatment group ( n =112), control group ( n =50). A lower abdomen transverse incision was done for all patients. Observations on pain after operation, healing rate, scar formation and hospital stay of the patients were studied and analyzed statistically.\ Results\ WAB biological adhesive promoted the healing of incisions, healing rate was 100% as compared with that of the control group, the difference was significant ( χ 2= 6.58 , P <0.01). Pain after operation of patients in treatment group was significantly alleviated as compared with that in patients of control group ( u=2.86, P <0.01). Hospital stay of treatment group was significantly shortened ( u=10.01, P <0.01). Incisions sewed up with WAB biological adhesive healed up well.\ Conclusion\ WAB biological adhesive could be used to replace the conventional suturing by stitches. [