CAJ | 학술논문

目的探讨剖宫产术皮肤和皮下组织缝合方式对预防术后切口脂肪液化的效果.方法将2600例行剖宫产术的孕妇随机分为观察组和对照组，观察组及对照组各1300例，对照组采用传统缝合即间断缝合皮下脂肪4-5针，观察组皮下脂肪不予缝合.结果观察组切口愈合率98.85%，显著高于对照组95.78%(P<0.01)；观察组脂肪液化切口裂开1.15%( P<0.05)，显著低于对照组3.46%；观察组术后平均住院日显著少于对照组(P<0.01).结论皮下脂肪不予缝合，对预防术后切口脂肪液化是一种省时、易行、疗效好、简单的方法.
목적탐토부궁산술피부화피하조직봉합방식대예방술후절구지방액화적효과.방법장2600례행부궁산술적잉부수궤분위관찰조화대조조，관찰조급대조조각1300례，대조조채용전통봉합즉간단봉합피하지방4-5침，관찰조피하지방불여봉합.결과관찰조절구유합솔98.85%，현저고우대조조95.78%(P<0.01)；관찰조지방액화절구렬개1.15%( P<0.05)，현저저우대조조3.46%；관찰조술후평균주원일현저소우대조조(P<0.01).결론피하지방불여봉합，대예방술후절구지방액화시일충성시、역행、료효호、간단적방법.
Objective To compare the effect on incision fat liquefaction by skin suture and subcutaneous tissue suture in cesarean patient. Methods 2600 patients underwent cesarean sections were randomly divided into control group and test group, each group has 1300 patients. In control group, patients were stitched intermittently 4-5 times in subcutaneous fat tissue, while in test group, subcutaneous fat tissue was not sutured. Results Wound healing rate in test group 98.85%is significantly higher than control group 95.78% (P<0.01). Compared to control group 3.46%, the incidence of wound dehiscence due to fat liquefaction in test group was significantly lowered to 1.15% (P<0.05); the average length of a hospital stay after cesarean declined significantly in test group compared to control group(P<0.01) . Conclusion In cesarean section, skin suture without subcutaneous fat tissue suture is a time-saving, simple but feasible way to prevent incision fat liquefaction.