倒刺缝线与传统缝线缝合胆石症手术腹部切口的效果比较研究

Comparative study of suture by QuillTMSRS and traditional suture for calculus of bile duct resection operation abdominal incision

目的评价免结倒刺缝线运用于腹部肝胆结石手术切口一期皮内连续缝合的临床效果。方法回顾分析既往137例肝内外胆管结石患者,开腹手术(右上腹L型切口)的临床资料,根据缝合方法分为两组:研究组免结倒刺缝线皮内连续缝合;对照组强生普通缝线间断缝合。对比两组一期缝合效果。结果 137例手术其中78例运用免结倒刺缝线连续皮内缝合,59例运用4号强生丝线间断缝合技术缝合。其中免结线组在缝合时间、患者术后住院时间及术后祛除敷料时间明显短于传统间断缝合方式组(P<0.05);在伤口感染率和伤口引流量方面两者间无明显差异。结论运用免结倒刺缝线连续美容一期缝合开腹肝内外胆管结石手术腹部切口具有节省手术时间、免除拆线痛苦、造作简便节省人力以及减少患者住院时间等特点,值得广泛推广。

[Objective] To evaluate the efficacy and safety of QuillTMSRS self-retaining suture in abdominal surgery. [Methods] The clinical data collect from 137 patients suffering from bile duct resection operation. Their abdominal incision underwent continuous suture by QuillTMSRS （study group 78 patients） and interrupted suture by normal operation sutures （control group 59 patients）. The clinical data were analyzed retrospectively. [ Results ] Com- pared to Control Groups, the study group was significantly better in operative time and postoperative discharge time （P 〈0.05）. [ Conclusions ] Compared with interrupted suture by normal sutures, continuous suture by QuillTMSRS in bile duct resection operation has the characteristics of shorter operation time and less postoperative time. It is worthy of popularization.