中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
26期
29-31
,共3页
剖宫产术%子宫切口缝合%单层缝合%套锁缝合
剖宮產術%子宮切口縫閤%單層縫閤%套鎖縫閤
부궁산술%자궁절구봉합%단층봉합%투쇄봉합
Cesarean section%Uterine incision suture%One layer suture%Lockstitch
目的：比较连续单层缝合、连续套锁缝合在剖宫产术后子宫切口缝合的效果，选择更好的子宫切口缝合方法。方法：将300例剖宫产产妇按照子宫切口缝合方法的不同，分为连续单层缝合组（单层组）和连续套锁缝合组（套锁组）各150例。单层组采用连续单层子宫切口缝合法；套锁组采用连续套锁子宫切口缝合法，比较两组围手术期手术时间、术中出血量、术后最高体温、产后出血率、术后恶露时间和住院时间等基本情况，并随访1年，记录两组月经复潮时间、切口假腔发生率和月经不调发生率。结果：单层组手术时间、术后恶露时间分别为（48.46±7.35）min、（32.8±5.9）d，与套锁组比较差异有统计学意义（P<0.05）。单层组术中出血量、术后最高体温、产后出血率、住院时间分别为（263.6±112.4）mL、（36.74±0.83）℃、3.33%和（3.7±0.6）d，与套锁组比较差异无统计学意义（P>0.05）。两组均随访1年。单层组术后1年内切口假腔发生率和月经不调发生率分为2.67%和8.67%，与套锁组比较差异有统计学意义（P<0.05）。单层组月经复潮时间为（4.46±2.18）个月，与套锁组比较差异无统计学意义（P>0.05）。结论：相比于连续套锁缝合，连续单层缝合可以缩短手术时间，减少术后恶露时间，并且降低切口假腔发生率和月经不调发生率，值得在临床实践中推广运用。
目的：比較連續單層縫閤、連續套鎖縫閤在剖宮產術後子宮切口縫閤的效果，選擇更好的子宮切口縫閤方法。方法：將300例剖宮產產婦按照子宮切口縫閤方法的不同，分為連續單層縫閤組（單層組）和連續套鎖縫閤組（套鎖組）各150例。單層組採用連續單層子宮切口縫閤法；套鎖組採用連續套鎖子宮切口縫閤法，比較兩組圍手術期手術時間、術中齣血量、術後最高體溫、產後齣血率、術後噁露時間和住院時間等基本情況，併隨訪1年，記錄兩組月經複潮時間、切口假腔髮生率和月經不調髮生率。結果：單層組手術時間、術後噁露時間分彆為（48.46±7.35）min、（32.8±5.9）d，與套鎖組比較差異有統計學意義（P<0.05）。單層組術中齣血量、術後最高體溫、產後齣血率、住院時間分彆為（263.6±112.4）mL、（36.74±0.83）℃、3.33%和（3.7±0.6）d，與套鎖組比較差異無統計學意義（P>0.05）。兩組均隨訪1年。單層組術後1年內切口假腔髮生率和月經不調髮生率分為2.67%和8.67%，與套鎖組比較差異有統計學意義（P<0.05）。單層組月經複潮時間為（4.46±2.18）箇月，與套鎖組比較差異無統計學意義（P>0.05）。結論：相比于連續套鎖縫閤，連續單層縫閤可以縮短手術時間，減少術後噁露時間，併且降低切口假腔髮生率和月經不調髮生率，值得在臨床實踐中推廣運用。
목적：비교련속단층봉합、련속투쇄봉합재부궁산술후자궁절구봉합적효과，선택경호적자궁절구봉합방법。방법：장300례부궁산산부안조자궁절구봉합방법적불동，분위련속단층봉합조（단층조）화련속투쇄봉합조（투쇄조）각150례。단층조채용련속단층자궁절구봉합법；투쇄조채용련속투쇄자궁절구봉합법，비교량조위수술기수술시간、술중출혈량、술후최고체온、산후출혈솔、술후악로시간화주원시간등기본정황，병수방1년，기록량조월경복조시간、절구가강발생솔화월경불조발생솔。결과：단층조수술시간、술후악로시간분별위（48.46±7.35）min、（32.8±5.9）d，여투쇄조비교차이유통계학의의（P<0.05）。단층조술중출혈량、술후최고체온、산후출혈솔、주원시간분별위（263.6±112.4）mL、（36.74±0.83）℃、3.33%화（3.7±0.6）d，여투쇄조비교차이무통계학의의（P>0.05）。량조균수방1년。단층조술후1년내절구가강발생솔화월경불조발생솔분위2.67%화8.67%，여투쇄조비교차이유통계학의의（P<0.05）。단층조월경복조시간위（4.46±2.18）개월，여투쇄조비교차이무통계학의의（P>0.05）。결론：상비우련속투쇄봉합，련속단층봉합가이축단수술시간，감소술후악로시간，병차강저절구가강발생솔화월경불조발생솔，치득재림상실천중추엄운용。
Objective:To compare the effect of continuous single-layer suture and continuous lock stitch suture in the uterine incision suture after cesarean section,to select better suture method.Method:Based on the suture method, 300 cases of cesarean section were divided into continuous single-layer suture group(single group)and continuous lock stitch suture group(lock group)with 150 cases in each.Single group used continuous monolayer of uterine incision suture;lock group used lock stitch suture.The operation time,the amount of operative bleeding,postoperative highest temperature,postpartum hemorrhage rate,the basic situation of lochia after operation and hospitalization time were compared.The follow up time was one year to record menses time,incision false lumen and the incidence of irregular menstruation.Result:The operation time and the lochia time of single group after operation were(48.46±7.35)min, (32.8±5.9)d respectively,which were significant differences compared to the lock group(P<0.05).The intraoperative bleeding volume,postoperative highest temperature,the rate of postpartum hemorrhage,the hospitalization time of single group was(263.6±112.4)mL,(36.74±0.83)℃,3.33%,and(3.7±0.6)d,which were no significant difference compared with lock group(P>0.05).The two groups were followed up for one year.Incision false lumen incidence and irregular menstruation occurrence rate of single group after one year were 2.67% and 8.67%,which were statistical difference compared with the lock group(P<0.05).The menses time of single group was(4.46±2.18)months,which had no significant difference compared to the lock group(P>0.05).Conclusion:Compared to the continuous lock stitch suture,continuous single-layer suture can shorten operation time,reduce postoperative lochia time,and the incidence rate of incision falselumen,which is worth to be popularized in clinical practice.
