改良埋线法在会阴裂伤缝合中的应用

Application of modified buried suture with absorbable suture for the perineal laceration

目的探讨改良埋线法在会阴裂伤缝合中的应用效果。方法 200例自然分娩时会阴裂伤产妇分为观察组和对照组。观察组100例产妇采用改良埋线法缝合会阴裂伤,对照组100例产妇采用连续皮内缝合法。比较2组产妇产后24 h疼痛情况及切口痊愈情况。结果观察组产妇产后24 h疼痛程度低于对照组(P<0.05),会阴伤口愈合情况优于对照组(P<0.05)。结论运用改良埋线法缝合会阴伤口安全有效,可减轻产妇产后疼痛。

Objective To investigate the application of embedded suture with absorbable suture for the perineal laceration. Methods Totally 200 puerperant women with perineal laceration after vaginal delivery were assigned to the observation group( n = 100) and the control group( n = 100). The intradermal continuous suture with absorbable suture was adopted for perineal laceration in the control group,and the modified buried suture was performed in the observation group. The pain degree at 24 hours after delivery and healing conditions were evaluated and compared between two groups. Results Puerperant women in the observation group had a lower pain degree at 24 hours after delivery and better healing conditions in perineal incision compared with those in the control group( P < 0. 05). Conclusion The modified buried suture with absorbable materials is an safety and effective suture for perineal laceration in puerperant women after vaginal delivery.