结缔组织型外痔创面的四种缝合方法比较

Comparison of Four Types of Suture for Connective Tissue External Wound

目的:四种不同缝合方法对结缔组织型外痔创面的疗效与安全性比较。方法:选择2013年1月-2016年12月年行结缔组织型混合痔手术住院患者120例,应用随机平行对照的研究方法纳入开窗引流、连续缝合、间断缝合、近端间断缝合加远端开窗引流这四组处理外痔切口。观察所有入选患者术后出现感染、出血、疼痛以及坠胀情况。结果:四组创面出血、局部疼痛及坠胀情况评分比较,差异均无统计学意义(P>0.05),其中发生显著改善76例(63.3%),有效改善44例(36.7%),同时各组改善率水平比较,差异均无统计学意义(P>0.05)。通过术后血常规和hs-CRP等临床指标观察,无术后感染并发症出现。结论:四种不同缝合方法对结缔组织型外痔创面影响无差异。

Objective:To compare the clinical efficacy and safety of four types of suture for connective tissue external wound.Method:From January 2013 to December 2016,120 inpatients of connective tissue type mixed hemorrhoids resection were enrolled.We applied the random parallel control method to allocate the patients into fenestration,continuous suture,suture proximal and distal interrupted suture plus fenestration of the four groups for the treatment of hemorrhoids incision.We observed the operative time,intraoperative bleeding,and postoperative infection,bleeding,pain,and swelling for the enrolled patients.Result:There was no significant difference between the four groups in wound bleeding,local pain and swelling(P>0.05).There were significant improvement of 76 cases(63.3%),effective improvement occurred of 44 cases(36.7%),and there was no significant difference between the groups(P>0.05).The infection index of postoperative blood routine and hs-CRP implied no occurrence of postoperative infection complications.Conclusion:There are no differences among the four different ways of suturing on connective tissue type external wound.