妇科腹腔镜手术前改进皮肤准备方法的研究

Method of Skin Preperation in Preoperation of Gynecologic Laparoscopy

目的 观察术前备皮与否对妇科腹腔镜手术后切口愈合情况的影响。方法 将 1 0 0例患者按术前备皮与否分组。不备皮组为实验组 ,备皮组为对照组 ,对照组术前备皮方法按经腹手术范围及常规方法进行 ,实验组只清洁脐孔。分别观察两组患者术后第 1、2、3、4天切口愈合情况。结果 术后第 1天切口肿胀 ,实验组为 32例 ,占 6 4 % ,对照组为 36例 ,占 72 % ,P >0 .0 5 ;术后第 2天切口肿胀不明显 ,实验组为 4 9例 ,占 98% ,对照组为 4 7例 ,占 94 % ,P >0 .0 5 ;术后第 3天愈合前期 ,实验组为 2 4例 ,占 4 8% ,对照组为 7例 ,占 1 4 % ,P <0 .0 5 ;术后第 4天切口Ⅰ期愈合 ,实验组为 5 0例 ,占 1 0 0 % ,对照组为 36例 ,占 72 % ,P <0 .0 5。结论 实验组在术后第 3、4天切口愈合情况优于对照组。妇科腹腔镜手术前可改进传统备皮方法 。

Objective To see whether skin preparation would affect wound healing of gynecological laparoscopy.Methods 100 patients were divided into two groups: the test group, where the patient received simple navel cleaning, and the control group, where the patients received skin preparation using the routine method for abdominal operation.Wound healing was observed at postoperative day 1, 2, 3 and 4.Results Incisional swelling at day 1, 2, 3 and 4 was seen in 32 (64%), 49 (98%), 47 (94%) and 50 (100%) patients of the test group vs 36 (72%), 47(94%), 7 (14%) and 36 (72%) patients of the control group (P>0.05,P>0.05,P<0.05,P<0.05).Conclusion Wound healing of the test group was better than that of the control group at day 3 and 4, suggesting that the conventional skin preparation can be replaced by simple navel cleaning as described herein.