腹膜间断与连续缝合对妇科盆腔手术后牵拉痛的影响

GYN Postoperative Pain and Peritoneal Stitches

目的 减少妇科盆腔手术后腹膜缝线引起的牵拉痛。方法 10 0例患者 ,随机分为观察组与对照组 ,手术中分别对两组采用腹膜间断缝合法与腹膜连续缝合法。采用双盲法观察两组术后缝线牵拉痛的发生情况。结果 观察组与对照组术后腹部缝线牵拉痛发生率分别为 2 0 %、76% (P <0 .0 0 1) ,膀胱牵拉痛发生率为 14 %、62 % (P <0 .0 0 1) ,盆腔牵拉痛发生率为 16%、3 6% (P <0 .0 5 )。结论 对妇科盆腔手术采用腹膜间断缝合法可以减少手术后牵拉痛的发生 。

Objective To find out the reason and reduce postoperative pain in pelvic cavity due to peritoneal stitches.Methods 100 women who had operations in the pelvic cavity in GYN. clinics were randomly divided into 2 groups by 1:1 ratio. In study group, interrupted peritoneal stitches were performed in the operation and in the control group, routine continuous stitches were used. These patients were watched for postoperative pain and compared.Results The result was shown as follows: abdominal referred pain 16% vs. 76% ( P <0.001); urodynia 14% vs. 62% ( P <0.001); pelvic cavity pain 16% vs. 36% ( P <0.05%).Conclusion Interrupted peritoneal stitches seems to have better results in reduction of GYN. postoperative pain.