中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
18期
30-32
,共3页
无针缝合器%妇科开腹手术%皮肤切口%伤口平均瘢痕宽度
無針縫閤器%婦科開腹手術%皮膚切口%傷口平均瘢痕寬度
무침봉합기%부과개복수술%피부절구%상구평균반흔관도
No needle suture%Gynecological operation%Incision%Wound average scar width
目的：研究无针缝合器闭合妇科手术切口的效果。方法将200例开腹妇科手术（子宫全切术、附件区良性肿瘤手术、开腹探察术等）随机分成2组，实验组及对照组各100例。实验组采用无针缝合器闭合手术切口皮肤，对照组采用传统针线缝合切口皮肤，两组术前准备、术后护理及麻醉方式基本相同，比较两组两组缝合切口皮肤时间、皮肤伤口平均瘢痕宽度（术后2月）、术后住院天数、切口一期愈合例数及不良反应。结果无针缝合器缝合切口皮肤时间、住院天数、伤口瘢痕宽度分别为(2.56±0.87)s、(5.11±0.28)d、(0.22±0.13)cm，传统针线缝合切口皮肤时间、住院天数、伤口瘢痕宽度分别为(5.91±1.78)s、(6.13±1.82)d、(1.36±1.41)cm，差异有统计学意义（P<0.05）。两组伤口一期愈合率均为99.0%，相比无差异(P>0.05)。实验组患者满意度评分(7.65±1.55)分及满意人数57(57.0%)，对照组满意度评分(6.33±1.54)分及满意人数35(35.0%)，差异有统计学意义（P<0.05）；而对照组不满意人数25(25.0%)高于观察组8(8.0%)，差异有统计学意义（P<0.05）。结论使用无针缝合器闭合妇产科开腹手术切口能缩短缝合切口皮肤时间；明显减少皮肤伤口瘢痕宽度，且伤口一期甲级愈合率高，满意度高，值得推广。
目的：研究無針縫閤器閉閤婦科手術切口的效果。方法將200例開腹婦科手術（子宮全切術、附件區良性腫瘤手術、開腹探察術等）隨機分成2組，實驗組及對照組各100例。實驗組採用無針縫閤器閉閤手術切口皮膚，對照組採用傳統針線縫閤切口皮膚，兩組術前準備、術後護理及痳醉方式基本相同，比較兩組兩組縫閤切口皮膚時間、皮膚傷口平均瘢痕寬度（術後2月）、術後住院天數、切口一期愈閤例數及不良反應。結果無針縫閤器縫閤切口皮膚時間、住院天數、傷口瘢痕寬度分彆為(2.56±0.87)s、(5.11±0.28)d、(0.22±0.13)cm，傳統針線縫閤切口皮膚時間、住院天數、傷口瘢痕寬度分彆為(5.91±1.78)s、(6.13±1.82)d、(1.36±1.41)cm，差異有統計學意義（P<0.05）。兩組傷口一期愈閤率均為99.0%，相比無差異(P>0.05)。實驗組患者滿意度評分(7.65±1.55)分及滿意人數57(57.0%)，對照組滿意度評分(6.33±1.54)分及滿意人數35(35.0%)，差異有統計學意義（P<0.05）；而對照組不滿意人數25(25.0%)高于觀察組8(8.0%)，差異有統計學意義（P<0.05）。結論使用無針縫閤器閉閤婦產科開腹手術切口能縮短縫閤切口皮膚時間；明顯減少皮膚傷口瘢痕寬度，且傷口一期甲級愈閤率高，滿意度高，值得推廣。
목적：연구무침봉합기폐합부과수술절구적효과。방법장200례개복부과수술（자궁전절술、부건구량성종류수술、개복탐찰술등）수궤분성2조，실험조급대조조각100례。실험조채용무침봉합기폐합수술절구피부，대조조채용전통침선봉합절구피부，량조술전준비、술후호리급마취방식기본상동，비교량조량조봉합절구피부시간、피부상구평균반흔관도（술후2월）、술후주원천수、절구일기유합례수급불량반응。결과무침봉합기봉합절구피부시간、주원천수、상구반흔관도분별위(2.56±0.87)s、(5.11±0.28)d、(0.22±0.13)cm，전통침선봉합절구피부시간、주원천수、상구반흔관도분별위(5.91±1.78)s、(6.13±1.82)d、(1.36±1.41)cm，차이유통계학의의（P<0.05）。량조상구일기유합솔균위99.0%，상비무차이(P>0.05)。실험조환자만의도평분(7.65±1.55)분급만의인수57(57.0%)，대조조만의도평분(6.33±1.54)분급만의인수35(35.0%)，차이유통계학의의（P<0.05）；이대조조불만의인수25(25.0%)고우관찰조8(8.0%)，차이유통계학의의（P<0.05）。결론사용무침봉합기폐합부산과개복수술절구능축단봉합절구피부시간；명현감소피부상구반흔관도，차상구일기갑급유합솔고，만의도고，치득추엄。
Objective To study the non needle suture closure of gynecologic operation incision. Methods 200 cases of gynecologi-cal operation hysterectomy, adnexal benign tumor operation, exploratory laparotomy surgery were randomly divided into 2 groups, experimental group and control group with 100 cases in each. The experimental group used needle free suture closure operation incision of skin, the control group using the traditional sewing suture of incision of skin, two groups of preoperative preparation, postoperative nursing and narcotic in basically the same way, compared with two groups of two groups of skin incision, skin wound suture time average scar width (after February), postoperative hospital stay, wound the number of cases of healing and adverse re-action. Results No needle stapling skin incision time, hospital stay, wound scar width were respectively (2.56 ±0.87) seconds, (5.11±0.28) days, (0.22±0.13) cm, the traditional sewing suture the skin time, hospitalization days, the wound scar width were re-spectively (5.91±1.78), (6.13±seconds1.82) days, (1.36±1.41) cm, the difference was statistically significant (P<0.05). Two groups of primary wound healing rate was 99%, compared with no difference (P> 0.05). The experimental group patient satisfaction scores (7.65±1.55)% and 57 (57%), the number of the control group (6.33±1.54) satisfaction scores and satisfied with the number 35 (35%), the difference was statistically significant (P< 0.05); while the control group was not satisfied with the number 25 (25%) higher than the observation group 8 (8%), the difference was statistically significant (P< 0.05). Conclusion The use of non needle suture closure of Obstetrics and gynecology laparotomy incision suture operation can shorten the time significantly re-duced skin incision;wound scar width, and the wound a Class-A healing rate is high, high satisfaction, worthy of promotion.
