腹部加压结合皮下美容缝合技术在瘢痕体质产妇剖宫产术中的应用

Application of Abdominal Pressure Combined with Subcutaneous Aesthetic Suture in Cesarean Section Women with Scar Constitution

目的:探讨腹部加压结合皮下美容缝合技术在瘢痕体质产妇剖宫产术中的应用效果。方法:选择2017年2月-2018年2月笔者医院收治的行第二次剖宫产且属于瘢痕体质的70例产妇作为本次的研究对象。按照随机数表法分为观察组与对照组。对照组给予传统妇产科腹部单纯间断缝合法进行缝合。观察组给予腹部加压结合皮下美容缝合技术。对两组的治疗效果、产妇术后外观满意度以及不良反应发生情况进行比较。结果:观察组术后脂肪液化、切口感染、切口疝、切口水肿以及切口裂开等不良反应发生率为2.70%,明显低于对照组的21.21%,差异有统计学意义(P<0.05)。观察组治疗有效率为97.30%高于对照组的81.82%,差异有统计学意义(P<0.05)。观察组产妇对外观满意度为97.30%明显优于对照组的75.76%,差异有统计学意义(P<0.05)。结论:腹部加压结合皮下美容缝合术在治疗瘢痕体质剖宫产产妇中有良好的治疗效果,能显著改善产妇术后外观,达到理想的美容效果。

Objective To study the application effect of abdominal pressure combined with subcutaneous aesthetic suture in cesarean section women with scar constitution.Methods Seventy pregnant women with scar constitution who underwent second cesarean section in our hospital from February 2017 to February 2018 were selected as the subjects of this study.All patients were divided into the observation group and the control group according to random number table method.The patients in the control group were treated with traditional interrupted suture technique of abdominal incision suture in gynecology and obstetrics.The patients in the observation group were sutured by abdominal pressure combined with subcutaneous aesthetic suture.The therapeutic effect,postoperative appearance satisfaction and adverse reactions of the two groups were analyzed and compared.Results The incidence of adverse reactions such as fat liquefaction,incision infection,incision hernia,incision edema and incision dehiscence in the observation group was 2.70%,which was signi ficantly lower than that in the control group(21.21%),the difference was statistically significant(P<0.05).The effective rate of observation group was 97.30%higher than that of control group(81.82%,P<0.05).The maternal satisfaction with appearance in the observation group was 97.30%,which was significantly better than that in the control group(75.76%,P<0.05).Conclusion Abdominal compression combined with subcutaneous suture has a good therapeutic effect in the treatment of cesarean section women with scar constitution.Abdominal compression combined with subcutaneous suture can significantly improve the appearance of patients after operation and achieve ideal cosmetic effect.