CAJ | 학술논문

目的：回顾性总结我院妇产科近3年多来在妇产科开腹手术切口闭合中使用无针缝合器的临床疗效。方法回顾性分析我院300例开腹妇科手术患者，采用随机数字法平均分为实验组与对照组，分别给予无针缝合器及传统针线缝合手术切口皮肤，比较两组患者临床差异及患者满意度。结果无针缝合器与传统针线缝合方式相比较，无皮肤创伤、无蜈蚣足样瘢痕、无异物、无炎症反应、无压迫、血供良好、排出通畅、自助拆除无拆线疼痛。无针缝合器缝合切口皮肤时间（2.74±0.54）s，住院天数（5.32±0.54）d，伤口瘢痕宽度（0.22±0.55）cm明显低于传统针线缝合缝合切口皮肤时间（5.85±1.45）s，住院天数（6.43±1.98）d，伤口瘢痕宽度（5.14±2.54）cm，两组差异有统计学意义（P＜0.05）。无针缝合器满意度评分（7.89±1.68）分明显高于传统针线缝合满意度评分（6.45±1.67）分，两组差异有统计学意义（P＜0.05）。结论妇产科开腹手术行无针缝合器闭合切口有较好的临床疗效，切口对合整齐，切口一期愈合率高，愈合完整美观，患者及家属有较高的满意度，值得临床推广应用。
목적：회고성총결아원부산과근3년다래재부산과개복수술절구폐합중사용무침봉합기적림상료효。방법회고성분석아원300례개복부과수술환자，채용수궤수자법평균분위실험조여대조조，분별급여무침봉합기급전통침선봉합수술절구피부，비교량조환자림상차이급환자만의도。결과무침봉합기여전통침선봉합방식상비교，무피부창상、무오공족양반흔、무이물、무염증반응、무압박、혈공량호、배출통창、자조탁제무탁선동통。무침봉합기봉합절구피부시간（2.74±0.54）s，주원천수（5.32±0.54）d，상구반흔관도（0.22±0.55）cm명현저우전통침선봉합봉합절구피부시간（5.85±1.45）s，주원천수（6.43±1.98）d，상구반흔관도（5.14±2.54）cm，량조차이유통계학의의（P＜0.05）。무침봉합기만의도평분（7.89±1.68）분명현고우전통침선봉합만의도평분（6.45±1.67）분，량조차이유통계학의의（P＜0.05）。결론부산과개복수술행무침봉합기폐합절구유교호적림상료효，절구대합정제，절구일기유합솔고，유합완정미관，환자급가속유교고적만의도，치득림상추엄응용。
Objective To retrospectively summarize the clinical efficacy of needle-free suture for incision suture in gynecological and obstetrical laparotomy in the department of gynecology and obstetrics in our hospital for the recent three years. Methods 300 patients who received gynecological laparotomy in our hospital were retrospectively analyzed, and randomly allocated to an experimental group and a control group according to a random number table. The two groups received needle-free suture and conventional needle suture for surgical skin incisions respectively, and clinical differences and patients’satisfaction were compared between the two groups. Results Compared with the conventional needle suture, the needle-free suture had no skin damages, no centipede-shaped scars, no inflammatory reactions, no pressure, good blood supply, unobstructed discharge and no pain when removing the stitches. Time of suturing skin incision via needle-free suture was (2.74±0.54) seconds, hospitalization was (5.32±0.54)days, and width of scars was (0.22±0.55) cm, which were significantly lower than those of (5.85±1.45)seconds, (6.43±1.98) days, and (5.14±2.54)cm respectively in the conventional needle suture, and the differences were statistically significant (P<0.05). Score of satisfaction rate towards needle-free suture was (7.89±1.68), significantly higher than that of (6.45±1.67) in the conventional suture, and the difference was statistically significant (P<0.05). Conclusion Needle-free suture for incision suture in gynecological and obstetrical laparotomy has favorable clinical efficacy, reflected by neat suture of incision, high recovery rate of incision at stage one, complete and satisfactory recovery, and high satisfaction rate of patients and family members, which is worthy of clinical promotion and application.