中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
43期
6996-7000
,共5页
李丹%庄競%刘永刚%周浩%陈凯旋%程科%王金榜%李保东%罗素霞%韩广森
李丹%莊競%劉永剛%週浩%陳凱鏇%程科%王金榜%李保東%囉素霞%韓廣森
리단%장경%류영강%주호%진개선%정과%왕금방%리보동%라소하%한엄삼
生物材料%材料相容性%腹部正中切口%全筋膜间断缝合%抗菌薇乔可吸收缝线%结直肠癌
生物材料%材料相容性%腹部正中切口%全觔膜間斷縫閤%抗菌薇喬可吸收縫線%結直腸癌
생물재료%재료상용성%복부정중절구%전근막간단봉합%항균미교가흡수봉선%결직장암
背景：腹部切口的愈合除与患者自身情况相关外，还与外科医生的腹部切口缝合技术、缝合方式、缝线选择有着密切相关。<br> 目的：比较可吸收缝线全筋膜间断缝合与丝线间断缝合腹壁切口的效果。<br> 方法：纳入153例结直肠癌患者，其中男91例，女62例，年龄30-82岁，随机分为观察组(n=78)与对照组(n=75)，选择腹部正中切口进行结直肠癌根治性手术，观察组采用抗菌薇乔可吸收缝线全筋膜间断缝合切口，对照组采用丝线分层间断缝合切口，比较两组切口缝合时间、住院时间与费用、切口感染、切口裂开、切口脂肪液化及排异反应情况。<br> 结果与结论：观察组切口缝合时间、住院时间均少于对照组(P<0.05)；观察组发生切口感染3例，无切口裂开，未发生排异反应；对照组发生切口感染10例、切口裂开4例、排异反应5例，两组切口感染、裂开及排异反应发生比较差异有显著性意义(P<0.05)；两组住院费用、切口脂肪液化比较差异无显著性意义。表明抗菌薇乔可吸收缝线全筋膜间断缝合腹部切口操作简单，可促进伤口愈合，降低并发症发生，效果安全可靠。
揹景：腹部切口的愈閤除與患者自身情況相關外，還與外科醫生的腹部切口縫閤技術、縫閤方式、縫線選擇有著密切相關。<br> 目的：比較可吸收縫線全觔膜間斷縫閤與絲線間斷縫閤腹壁切口的效果。<br> 方法：納入153例結直腸癌患者，其中男91例，女62例，年齡30-82歲，隨機分為觀察組(n=78)與對照組(n=75)，選擇腹部正中切口進行結直腸癌根治性手術，觀察組採用抗菌薇喬可吸收縫線全觔膜間斷縫閤切口，對照組採用絲線分層間斷縫閤切口，比較兩組切口縫閤時間、住院時間與費用、切口感染、切口裂開、切口脂肪液化及排異反應情況。<br> 結果與結論：觀察組切口縫閤時間、住院時間均少于對照組(P<0.05)；觀察組髮生切口感染3例，無切口裂開，未髮生排異反應；對照組髮生切口感染10例、切口裂開4例、排異反應5例，兩組切口感染、裂開及排異反應髮生比較差異有顯著性意義(P<0.05)；兩組住院費用、切口脂肪液化比較差異無顯著性意義。錶明抗菌薇喬可吸收縫線全觔膜間斷縫閤腹部切口操作簡單，可促進傷口愈閤，降低併髮癥髮生，效果安全可靠。
배경：복부절구적유합제여환자자신정황상관외，환여외과의생적복부절구봉합기술、봉합방식、봉선선택유착밀절상관。<br> 목적：비교가흡수봉선전근막간단봉합여사선간단봉합복벽절구적효과。<br> 방법：납입153례결직장암환자，기중남91례，녀62례，년령30-82세，수궤분위관찰조(n=78)여대조조(n=75)，선택복부정중절구진행결직장암근치성수술，관찰조채용항균미교가흡수봉선전근막간단봉합절구，대조조채용사선분층간단봉합절구，비교량조절구봉합시간、주원시간여비용、절구감염、절구렬개、절구지방액화급배이반응정황。<br> 결과여결론：관찰조절구봉합시간、주원시간균소우대조조(P<0.05)；관찰조발생절구감염3례，무절구렬개，미발생배이반응；대조조발생절구감염10례、절구렬개4례、배이반응5례，량조절구감염、렬개급배이반응발생비교차이유현저성의의(P<0.05)；량조주원비용、절구지방액화비교차이무현저성의의。표명항균미교가흡수봉선전근막간단봉합복부절구조작간단，가촉진상구유합，강저병발증발생，효과안전가고。
BACKGROUND:Abdominal incision healing is not only related with the patient’s own situation, but also closely related with the surgeon's suture technique, suture method, choice of stitches. <br> OBJECTIVE:To compare the absorbable sutures and silk sutures for abdominal incision. <br> METHODS:Total y 153 colorectal cancer patients, including 91 males and 62 females, aged 30-82 years, were randomly divided into observation group (n=78) and control group (n=75). An abdominal midline incision was made in al patients receiving radical surgery of colorectal cancer. The Vicryl suture and silk suture were respectively used in the observation and control groups for abdominal incision closure. Suturing time, length of hospital stay, incision infection, disruption of wound, fat liquefaction of wound and rejection were compared between two groups. <br> RESULTS AND CONCLUSION:The suturing time and length of hospital stay were less in the observation group than the control group (P<0.05). In the observation group, there were three cases of incision infection, but no incision dehiscence and rejection occurred;in the control group, there were 10 cases of incision infection, 4 cases of incision dehiscence, and 5 cases of rejection. A significant difference was found in the incision infection, dehiscence and rejection between the two groups (P<0.05). Hospitalization expenses and fat liquefaction of incision had no difference between the two groups. these findings indicate that the Vicryl plus as an absorbable suture is simple, effective and safe that can promote wound healing and reduce complications.
