CAJ | 학술논문

目的本文对比分析妇科腹部手术新式皮内缝合法与传统缝合方法对切口愈合的影响和效果。方法选取2012年5月至2013年5月于潍坊医学院附属医院就诊行开腹手术的病人200例。观察组：采用新式皮内缝合法100例(子宫肌瘤剔除50例，子宫全切50例)，对照组：采用传统缝合方法100例(子宫肌瘤剔除50例，子宫全切50例)，比较观察组和对照组手术切口缝合时间、术后硬结、术后住院时间、切口甲级愈合率及术后半年疤痕增生情况等方面。结果观察组与对照组手术切口缝合时间、术后硬结、术后住院时间、切口甲级愈合率等方面差异均有统计学意义(P<0.05)，观察组与对照组术后半年疤痕增生情况差异无统计学意义( P>0.05)。结论妇科腹部手术新式皮内缝合法优于传统缝合方法，值得在临床大力推广。
목적본문대비분석부과복부수술신식피내봉합법여전통봉합방법대절구유합적영향화효과。방법선취2012년5월지2013년5월우유방의학원부속의원취진행개복수술적병인200례。관찰조：채용신식피내봉합법100례(자궁기류척제50례，자궁전절50례)，대조조：채용전통봉합방법100례(자궁기류척제50례，자궁전절50례)，비교관찰조화대조조수술절구봉합시간、술후경결、술후주원시간、절구갑급유합솔급술후반년파흔증생정황등방면。결과관찰조여대조조수술절구봉합시간、술후경결、술후주원시간、절구갑급유합솔등방면차이균유통계학의의(P<0.05)，관찰조여대조조술후반년파흔증생정황차이무통계학의의( P>0.05)。결론부과복부수술신식피내봉합법우우전통봉합방법，치득재림상대력추엄。
Objective To contrastively analyze the influence and effects of the new incision seaming method and traditional suture means in gynecologic abdominal surgery on incision healing. Methods 200 patients were selected among those for abdominal opera-tion in Affiliated Hospital of Weifang Medical College from May 2012 to May 2013. 100 new intradermal suture cases (50 hysteromyo-ma myomectomy cases, 50 total hysterectomy cases) were adopted in the observation group. 100 cases with traditional seaming methods (50 hysteromyoma myomectomy cases, 50 total hysterectomy cases) were included in the control group. Operative incision suture time, postoperative scleroma, length of hospital stay, class A healing rate of incision and postoperative incision and scar hyperplasia of six months following surgery and so on were compared between the observation group and the control group. Results there were statisti-cally significant differences (P<0.05) between the observation group and control group in terms of the operative incision suture time, postoperative scleroma, length of hospital stay, class A healing rate of incision, while the difference of postoperative incision and scar hyperplasia of six months following surgery between two groups were not statistically significant (P>0.05). Conclusion The new in-tradermal suture method in gynecologic abdominal surgery is superior to the traditional suture method, worthy of promoting clinically.