皮下美容缝合法在会阴侧切中的应用及效果研究

Application and Effect of Subcutaneous Cosmetic Suture in the Treatment of Lateral Episiotomy

目的:探究美容缝合法对会阴侧切愈合以及切口的影响。方法:选取2019年3月-2020年1月笔者医院行会阴侧切术的60例产妇作为研究对象,根据信封密封法随机分为两组,分别为对照组(n=30,会阴外缝合技术)及观察组(n=30,皮下美容缝合法),统计两组产妇切口愈合情况、切口肿胀程度、疼痛程度、美观满意度及感染情况。结果:观察组感染例数、手术缝合时间、平均出血量、肿胀程度及线结反应均少于对照组,差异有统计学意义(P<0.05)。术后第3天,观察组产妇VAS为(3.67±2.24)分,对照组为(5.12±3.17)分,差异有统计学意义(P<0.05)。观察组产妇切口甲级愈合较对照组多,美观满意度评分较对照组高,差异有统计学意义(P<0.05)。结论:皮下美容缝合法应用于会阴侧切术中,切口愈合效果较佳,具有美观、操作简单、舒适等优点,值得推广。

Objective To explore the effect of cosmetic suture on perineal side incision healing and incision.Methods A total of 60 cases of pregnant women who underwent perineal incision in our hospital from March 2019 to January 2020 were selected as the study subjects.According to the envelope sealing method,they were randomly divided into two groups:the control group(n=30,perineal external suture)and the observation group(n=30,subcutaneous cosmetic suture).Incision healing,incision swelling,pain,aesthetic satisfaction,and infection were compared between the two groups.Results The number of infection cases,operation suture time,average blood loss,swelling degree and suture reaction in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).On the third day after operation,the VAS of the observation group was(3.67±2.24),and that of the control group was(5.12±3.17),the difference was statistically significant(P<0.05).The observation group had more cases of Grade A wound healing than the control group,and the aesthetic satisfaction score was higher than that of the control group(P<0.05).Conclusion Subcutaneous cosmetic suture is applied in lateral episiotomy,the effect of incision healing is better,with the advantages of beauty,simple operation and comfort,which is worthy of promotion.