剖宫产术中切口缝合方式与术后瘢痕厚度的关系

Correlation analysis of cesarean section incision suture and postoperative scar thickness

目的:探讨剖宫产术中不同缝合方式、手术时机对子宫瘢痕愈合的影响。方法:选取行剖宫产患者160例,随机分为观察组(A组)与对照组(B组),各80例。A组进行双重缝合,无宫缩者为A1组(40例),术前有宫缩者为A2组(40例);B组进行单重缝合,无宫缩者为B1组(40例),术前有宫缩者为B2组(40例)。观察两组患者不同手术方式对瘢痕愈合的影响。结果:观察组术后测得的瘢痕最薄厚度、瘢痕最薄厚度>3 mm者均高于对照组(P<0.05);术前有宫缩患者测得的瘢痕最薄厚度>3 mm者与术前无宫缩组比较无差异(P>0.05)。结论:双重缝合子宫切口较单重缝合子宫切口效果好,有利于子宫瘢痕愈合。

Objective： To discuss the effect of different ways of stitching in cesarean section and operation opportunity on uterine scar healing.Methods： 160 cases of cesarean section were randomly divided into the observation group（ group A） and the control group（ group B）,80 cases in each group. Group A received double stitching,with no contractions as group A1（ 40 cases）,and with preoperative contractions as group A2（ 40 cases）. Group B received simple suture,no contractions as group B1（ 40 cases）,preoperative contractions as group B2（ 40 cases）. Results：The thinnest thickness of postoperative measured scar and the number of patients with thinnest thickness of scarring more than 3 mm in the observation group were higher than those in the control group（ P 〈 0. 05）. There was no statistical significance in thinnest thickness of scar more than 3mm between patients with preoperative contractions and without preoperative contractions（ P 〈 0. 05）. Conclusion： Double suture of the uterus incision is of relatively better effect than simple suture of the uterus incision and can promote uterine scar healing.