期刊文献+

急诊腹部手术切口缝合方式对切口愈合的影响 被引量:7

Effect of The Suture Methods for The Wound Healing in Emergency Operation on Abdominal Region
原文传递
导出
摘要 目的比较全层连续缝合法和分层缝合法在急诊腹部手术中的切口愈合效果。方法将符合纳入标准的急诊腹部手术患者随机分为全层缝合组和分层缝合组,比较2组患者的切口愈合效果。结果全层缝合组的关腹时间短于分层缝合组(P=0.000),但在切口液化发生率、切口感染发生率、总切口并发症发生率、切口愈合及术后住院时间方面,2组的差异均无统计学意义(P>0.05)。26例细菌培养结果为阳性(全层缝合组10例,分层缝合组16例)的患者中,致病菌主要为大肠埃希菌(11例)和铜绿假单胞菌(7例)。结论相较于分层缝合法,急诊腹部手术中采用全层缝合法既不增加切口并发症的发生率,又节省手术时间,对于危重患者具有重要的意义。
出处 《中国普外基础与临床杂志》 CAS 2014年第12期1555-1557,共3页 Chinese Journal of Bases and Clinics In General Surgery
  • 相关文献

参考文献15

  • 1Luijendijk RW, Hop WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia [J]. N Engl J Med, 2000, 343(6): 392-398.
  • 2Poole GV Jr. Mechanical factors in abdominal wound closure: the prevention of fascial dehiscence [J]. Surgery, 1985, 97(6): 631-640.
  • 3Zirmer M J著;秦兆寅,纪宗正译.梅氏腹部外科手术学[M].第10版.西安:世界图书出版公司西安公司,2000:431-432.
  • 4Niggebrugge AH, Hansen BE, Trimbos JB, et al. Mechanical factors influencing the incidence of burst abdomen [J]. Eur JSurg, 1995, 161(9): 655-661.
  • 5张育超,杨斌,陈双,楮忠华,伍衡,周军,刘露.腹部切口全层缝合与分层缝合对照研究[J].中国实用外科杂志,2008,28(12):1049-1050. 被引量:25
  • 6Hodgson NC, Malthaner RA, Ostbye T. The search for an ideal method of abdominal fascial closure: a meta-analysis [J]. Ann Surg, 2000, 231(3): 436-442.
  • 7Baracs J, Huszfir O, Sajjadi SG, et al. Surgical site infections after abdominal closure in colorectal surgery using triclosan- coated absorbable suture (PDS Plus) vs. uncoated sutures (PDS II): a randomized multicenter study [ J ]. Surg Infect (Larchmt), 2011, 12(6): 483-489.
  • 8赵玉沛.普通外科缝合技术和缝线的发展历史 现状和展望[J].中国实用外科杂志,2008,28(10):789-792. 被引量:69
  • 9Hoer J, Anurov M, Titkova S, et al. Influence of suture mate- rial and suture technique on collagen fibril diameters in midline laparotomies [J].Eur Surg Res, 2000, 32(6): 359-367.
  • 10戈伟,陈刚,丁义涛.不缝合皮下脂肪层的切口缝合方式在腹部外科的应用[J].中国普外基础与临床杂志,2013,20(12):1396-1400. 被引量:14

二级参考文献36

  • 1于秀娟,姚苹,孔庆莲.呼吸系统不动杆菌感染的多重耐药性与耐药基因的检测[J].中华医院感染学杂志,2004,14(4):369-372. 被引量:16
  • 2van't Riet M, Steyerberg EW, Nellensteyn J, Bonier HJ, Jeekel J. Meta-analysis of techniques fur closure of midline abdominal inci sions[J]. Br J Surg, 2002,89(11):1350-1356.
  • 3Rucinski J, Margolis M, Panagopoulos G, Wise L. Closure of the abdominal midline fascia: meta-analysis delineates the optimal technique [J ]. Am Surg, 2001,67(5):421-426.
  • 4Karlowsky JA, Deborahc,et al. Surveillance for antlmicrobial susceptibility among clinical isolates of Pseudomonas aerugi-nosa and Acinetobacter baumannii from hospitalized patients in the United States,1998 to 2001 [J]. Antimictob AgentsChemother, 2003, 47(5): 1681-1688.
  • 5Hsueh PR , Teng LJ , Chen CY , et al . Pandrug resistant Acinetobacter baumannii causing nosocomial infections in a uni-versity hospital, Taiwan[J]. Emerg Infect Dis, 2002, 8(8):827-832.
  • 6National Committee for Clinical Laboratory Standards. Perfor-mance standards for antimicrobial susceptibility testing [S].Approved Standard M100-S12. NCCLS, 2002.
  • 7Poirel L, Menuteau O, et al. Outbreak of extended spectrum β lactamase VEB-1 producing isolates of Acinetobacter bauman-nil in a French hospital[J]. J Clin Microbiol, 2003, 41 (8):3542-3547.
  • 8Ribera A, Ruiz J, Vila J. Presence of the Tet M determinant in a clinical isolate of Acinetobacter baumannii[J]. Antimicrob Agents Chemothtr, 2003, 47(7): 2310-2312.
  • 9Jean SS, Teng LT, Hsueh PR, et al. Antimicrobial suscepti-bility among clinical isolates of extended spectrum cephalosporin resistant Gram negative bacteria in a Taiwan Residents university hospital [J]. J Antimicrob Chemother, 2002, 49(1): 69-76.
  • 10Hsueh PR. Liu YC, Yang D, et al. Multicenter surveillance of antimicrobial resistance of major bacterial pathogens in in-tensive care units in 2000 in Taiwan[J]. Microb Drug Resist,2001,7(4) :373-382.

共引文献164

同被引文献71

引证文献7

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部