燕式无张缝合术在剖宫产美容缝合中的临床应用

Clinical application of Yan tension-free suture in skin incision of cesarean section

目的探索燕式无张缝合术在剖宫产美容缝合中的临床应用。方法选取2021年7月至2021年10月在我院行二次或多次剖宫产且符合要求的产妇29名,均采用燕式无张缝合术闭合皮下组织和皮肤,术后定期随访,并与术前进行对比,评估瘢痕增生情况。结果29例产妇术后切口全部愈合,瘢痕均呈线状。结论燕式无张缝合术通过合理修剪创缘,两次锚定真皮层,可精密对合创缘,实现无张缝合,抑制剖宫产术后皮肤瘢痕增生效果显著,值得推广。

Objective To explore the clinical application of Yan tension-free suture in skin incision of cesarean section.Methods From July 2021 to October 2021,29 qualified pregnant women who underwent two or multiple cesarean sections were selected.All of them were treated with Yan tension-free suture to close the wound margin.Regular follow-up was performed after operation and the scar hyperplasia was evaluated and compared with that before operation.Results All incisions were healed in 29 cases,and the scar healed in a linear manner.Conclusion Yan tension-free suture can achieve precise anastomosis and tension-free suture by reasonable trimming and anchoring dermis twice.It has remarkable effect in controlling scar hyperplasia and is worth popularizing.