剖宫产术中子宫切口两种缝合方法的对比及体会

Comparison and Experience of Two Suture Methods for Cesarean Section Suring Cesarean Section

目的对比分析剖宫产术中分别采用扣锁缝合、连续缝合两种缝合方法的临床效果。方法选取我院2014年1月-2016年8月收治的100例剖宫产术孕妇分别按照不同的切口缝合方法采用随机抽签法分为实验组(50例,采用切口连续缝合方法)和对照组(50例,采用切口扣锁缝合方法),对比两组效果。结果实验组手术时间、术后恶露时间均显著短于对照组(P<0.05)。对孕妇进行1年时间随访,实验组孕妇月经不调率(8%)、假腔切口率(2%)明显低于对照组18%、8%。结论剖宫产术中采用子宫切口连续缝合优于扣锁缝合,可缩短缝合时间,远期形成憩室可能性较小,且对月经量影响较小,更值得广泛推广应用。

Objective To analyze cesarean section in the buckle lock stitch, continuous suture were used respectively to the clinical effect of two suture method. Methods From January 2014 to August 2016, admitted during the period of 100 cases of cesarean section patients respectively according to different incision suture methods using random draw method divided into experimental group（50 cases, the use of continuous suture of incision method） and the control group（50 cases, use padlocks incision suture method）, the effects of two groups were compared. Results The experimental group operation time, postoperative lochia time were significantly shorter than the control group（P〈0.05）. To 1 years followup of patients, the experimental group patients menoxenia rate（8%）, false lumen incision rate（2%）, were significantly lower than the control group 18%, 8%. Conclusion Uterine cesarean section with continuous suture of incision is superior to the buckle lock stitch, stitch can shorten the time and forward form diverticulum is less likely, and the impact on the menstrual quantity is small, more is worth wide application.