食管癌胸部切口可吸收线连续缝合应用的临床分析

Clinical analysis of absorbable continuous suture application in esophageal chest incision

目的探讨食管癌胸部切口可吸收线连续缝合的临床应用,以期降低切口并发症的几率。方法通过对比可吸收线连续缝合(观察组)及丝线缝合(对照组)左胸入路的食管癌胸部切口病例各53例,分析术后切口感染情况及排异反应的差异。结果观察组切口甲级愈合率为96.2%,出现硬结1例,缝线排出0例;对照组切口甲级愈合率为86.8%,出现硬结3例,缝线排出4例。结论食管癌胸部切口可吸收线连续缝合的临床应用,明显降低了术后切口感染及排异反应的几率,有效提高了切口甲级愈合率。

Objective： To investigate the clinical application of absorbable continuous suture in esophageal chest incision in order to reduce the chance of incision complications. Methods ： Two kinds of suture techniques, including absorbable con- tinuous suture （observation group） and silk suture （control group）, were applied in esophageal chest incision by left sided approach in the 53 cases of patients respecvtively. At the same time, the differences in postoperative wound infection and re- jection were analyzed through the comparison of the two eases. Results ： Observation group incision healing rate was 96.2%, with one case of induration and 0 case of the suture discharge, while the control group incision healing rate was 86.8%, with three cases of induration and four eases of the suture discharged. Conclusion： Absorbable continuous suture application in e- sophageal chest incision can reduce the postoperative wound infection and rejection probability significantly , and improve the rate of wound healing grade effectively.