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心形减张美容缝合技术对剖宫产术后切口愈合的影响研究 被引量:7

Effect of Heart-shaped Tension Reducing Cosmetic Suture on Incision Healing of Cesarean Section
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摘要 目的:探析剖宫产术后采取心形减张美容缝合技术对腹部瘢痕及切口愈合的影响。方法:将笔者医院2019年3月-2019年12月收治的60例剖宫产产妇按照随机分组原则分为对照组(n=30,采用传统缝合)和观察组(n=30,采用心形减张美容缝合)。比较两组切口缝合时间、切口愈合时间、切口愈合程度、疼痛程度[视觉模拟评分法(Visual analogue scale,VAS)]、并发症情况、瘢痕最薄处厚度及瘢痕宽度等。结果:观察组切口缝合时间、切口愈合时间明显短于对照组,观察组切口愈合甲级率明显高于对照组,差异有统计学意义(P<0.05)。观察组术后7d、30d的VAS评分及并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组术后30d、90d、180d瘢痕最薄处厚度、瘢痕宽度均明显小于对照组,差异有统计学意义(P<0.05)。结论:剖宫产产妇采取心形减张美容缝合能够获得较为理想的美容效果,对促进切口愈合有着积极的作用,建议全面推广应用。 Objective To explore the effect of heart-shaped tension reducing cosmetic suture on abdominal scar and incision healing in patients with cesarean section.Methods 60 cases of cesarean section in our hospital from March 2019 to December 2019 were randomly divided into the control group(n=30,traditional suture)and the observation group(n=30,heart-shaped tension reduction cosmetic suture).The incision suture time,incision healing time,degree of incision healing,degree of pain(Visual analogue scale,VAS),complications,thinnest scar thickness and scar width were compared between the two groups.Results The incision suture time and incision healing time in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).The grade A rate of incision healing in the observation group was significantly higher than that in the control group(P<0.05).The VAS score and complication rate of the observation group at 7 and 30 days after operation were significantly lower than those of the control group(P<0.05).The thinnest thickness and width of scar in the observation group were significantly less than those in the control group at 30d,90d and 180d after operation(P<0.05).Conclusion The intervention of heart-shaped tension reduction cosmetic suture for cesarean section parturients can obtain ideal effect,which plays a positive role in promoting incision healing,and should be widely applied.
作者 戴水红 王佳佳 DAI Shui-hong;WANG Jia-jia(Department of Obstetrics and Gynecology,Wuhu Fifth People's Hospital,Wuhu 241000,Anhui,China)
出处 《中国美容医学》 CAS 2021年第10期48-50,共3页 Chinese Journal of Aesthetic Medicine
关键词 剖宫产 心形减张美容缝合 腹部瘢痕 切口愈合 美容效果 cesarean section heart-shaped tension reduction cosmetic suture abdominal scar incision healing cosmetic effect
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