膝关节置换术的组织缝合中倒刺线的应用效果

Application effect of barbed thread in tissue suture of knee arthroplasty

目的探讨膝关节置换术的组织缝合中倒刺线的应用效果。方法选取该院2016年6月至2018年6月收治的膝关节置换术患者456例,根据随机数字表法分为倒刺线缝合组和常规缝合组,每组228例,其中常规缝合组采用1号可吸收缝线间断缝合深筋膜,2-0号可吸收缝线间断缝合皮下脂肪层;倒刺线缝合组采用2号双向倒刺线连续缝合深筋膜,2-0号连续缝合皮下组织层。手术后随访6个月,比较两组患者的切口恢复情况及并发症发生情况。结果倒刺线缝合组的总有效率(98.2%)与常规缝合组(97.4%)比较,差异无统计学意义(χ^(2)=0.878,P>0.05);倒刺线缝合组的切口恢复时间、切口疤痕宽度、切口缝合时间明显短于常规缝合组,差异有统计学意义[(7.2±1.2)d vs.(15.3±1.2)d、(0.4±0.1)mm vs.(0.9±0.1)mm、(11.9±2.2)min vs.(26.8±1.9)min,P<0.05];倒刺线缝合组患者的满意度(100%)明显高于常规缝合组(80.7%),两组比较差异有统计学意义(χ^(2)=28.878,P<0.05);两组患者的并发症发生率及KSS评分比较,差异无统计学意义(χ^(2)=0.273、0.576,P>0.05)。结论采用倒刺线对膝关节置换术的组织缝合可以加快切口的愈合,患者康复快、满意度高。

Objective To investigate the application effect of barbed thread in the tissue suture of knee arthroplasty.Methods A total of 456 patients with knee replacement operation in this hospital from June 2016 to June 2018 were selected and divided into the barbed thread suture group and conventional suture group according to the random number table method,228 cases in each group.The conventional suture group adopted the No.1 absorbable thread to conduct the interrupted suture of deep fascia and No.2-0 absorbable sutures to conduct the interrupted suture of subcutaneous fat layer;the barbed thread suture group used the No.2 bidirectional barbed thread to conduct the continuous suture of deep fascia and No.2-0 thread to conduct the continuous suture of subcutaneous tissue layers.The postoperative follow up lasted for 6 months.The incision recovery and complications occurrence were compared between the two groups.Results The total effective rate of the barbed thread suture group was 98.2%,which of the conventional suture group was 97.4%,and the difference between them had no statistical significance(χ^(2)=0.878,P>0.05);the incision recovery time,incision scar width and incision suture time in the barbed thread suture group were significantly shorter than those in the conventional suture group,and the differences were statistically significant[(7.2±1.2)d vs.(15.3±1.2)d,(0.4±0.1)mm vs.(0.9±0.1)mm,(11.9±2.2)min vs.(26.8±1.9)min,P<0.05];the patients satisfaction of the barbed thread suture group was obviously higher than that of conventional suture group,and the difference was statistically significant(100%vs.80.7%,χ^(2)=28.878,P<0.05);the incidence rate of complications and KSS score had no statistically significant difference between the two groups(χ^(2)=0.273,0.576,P>0.05).Conclusion Adopting the barbed thread to conduct the tissue suture of knee replacement operation can accelerate the healing of incision with rapid rehabilitation and high satisfaction.