两种缝合方法在胸腔镜下肺叶切除术中的应用效果比较

Application effect comparison of two suture methods in thoracoscopic lobectomy

目的 比较两种缝合方法在胸腔镜下肺叶切除术中的应用及效果.方法 回顾性分析2019年7~11月在潍坊市人民医院行胸腔镜下肺叶切除术的200例患者的临床资料.根据缝合方法的不同分为对照组(n=100)和研究组(n=100).对照组采用传统缝合法,研究组采用4-0 Prolene线皮内缝合法.比较两组切口缝合速度、切口缝合时间、瘢痕面积、术后第3天疼痛评分、脂肪液化、刀口感染情况.结果 研究组切口缝合速度慢于对照组(P<0.05),研究组皮肤缝合时间长于对照组(P<0.05),研究组瘢痕面积小于对照组(P<0.05),且研究组并发症总发生率低于对照组(P<0.05),研究组切口甲级愈合率高于对照组(P<0.05).两组术后第3天疼痛评分、愈合时间比较,差异无统计学意义(P>0.05).结论 皮内缝合用于胸腔镜下肺叶切除术,能明显减少术口瘢痕增生,达到少瘢甚至无瘢愈合,较少发生脂肪液化及刀口感染情况,值得全方位推广与应用.

Objective To compare the application effect of two suture methods in thoracoscopic lobectomy.Methods The clinical data of 200 patients undergoing thoracoscopic lobectomy who were admitted and treated in Weifang People′s Hospital from July to November 2019 were retrospectively analyzed.According to different suture methods,the patients were divided into control group(n=100)and study group(n=100).The control group was treated with a traditional suture method while the study group was subjected to intradermal suture with 4-0 Prolene.The speed of incision suture,the suture time,scar area,pain score on the 3rd day after surgery,fat liquefaction and incision infection were compared between the two groups.Results The speed of incision suture in the study group was slower than that in the control group(P<0.05),the suture time in the study group was longer than that in the study group(P<0.05),and the area of scar in the study group was smaller than that in the control group(P<0.05),and the total incidence of complications in the study group were lower than that in the control group(P<0.05),and the class A healing rate of incision in the study group was higher than that in the control group(P<0.05).There was no significant difference between the two groups in pain score on the 3rd day after surgery and healing time(P>0.05).Conclusion Intradermal suture applied in thoracoscopic lobectomy can significantly reduce scar hyperplasia,achieve less scar or even no scar,which is worthy of all-round promotion and application.