中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
Chinese Journal of Neuromedicine
2015年
11期
1159-1161
,共3页
郭西良%马奎%张圣邦%钱锋%丁俊%姜国伟%张连富%徐旭东
郭西良%馬奎%張聖邦%錢鋒%丁俊%薑國偉%張連富%徐旭東
곽서량%마규%장골방%전봉%정준%강국위%장련부%서욱동
皮下无线结缝合法%头皮切口缝合%线结排异反应
皮下無線結縫閤法%頭皮切口縫閤%線結排異反應
피하무선결봉합법%두피절구봉합%선결배이반응
Non-knot subcutaneous suture%Suture incision%Knot rejection
目的 介绍皮下无线结缝合法并探讨该缝合法在头皮切口缝合中的应用价值. 方法 选择自2008年1月至2015年1月在安徽省第二人民医院神经外科住院的118例开颅手术患者,按切口缝合方法分为2组(传统缝合组51例和无线结缝合组67例),并统计分析2组患者切口缝合时间、术后切口甲级愈合率、线结排异反应等指标的差异. 结果 传统缝合组切口缝合时间为(27.35±1.85) rain;甲级愈合45例,乙级愈合6例;发生线结排异反应14结次,其中1例线结排异反应致颅骨修补材料外露.无线结缝合组切口缝合时间为(18.36±2.50) rain;甲级愈合63例,乙级愈合4例;发生线结排异反应0例次.2组患者切口缝合时间、线结排异反应发生率比较差异均有统计学意义(P＜0.05),切口甲级愈合率(88.24％vs 94.03％)比较差异无统计学意义(P=0.263). 结论 皮下无线结缝合法能够缩短切口缝合时间及从根本上消除线结排异反应,值得推广应用.
目的 介紹皮下無線結縫閤法併探討該縫閤法在頭皮切口縫閤中的應用價值. 方法 選擇自2008年1月至2015年1月在安徽省第二人民醫院神經外科住院的118例開顱手術患者,按切口縫閤方法分為2組(傳統縫閤組51例和無線結縫閤組67例),併統計分析2組患者切口縫閤時間、術後切口甲級愈閤率、線結排異反應等指標的差異. 結果 傳統縫閤組切口縫閤時間為(27.35±1.85) rain;甲級愈閤45例,乙級愈閤6例;髮生線結排異反應14結次,其中1例線結排異反應緻顱骨脩補材料外露.無線結縫閤組切口縫閤時間為(18.36±2.50) rain;甲級愈閤63例,乙級愈閤4例;髮生線結排異反應0例次.2組患者切口縫閤時間、線結排異反應髮生率比較差異均有統計學意義(P＜0.05),切口甲級愈閤率(88.24％vs 94.03％)比較差異無統計學意義(P=0.263). 結論 皮下無線結縫閤法能夠縮短切口縫閤時間及從根本上消除線結排異反應,值得推廣應用.
목적 개소피하무선결봉합법병탐토해봉합법재두피절구봉합중적응용개치. 방법 선택자2008년1월지2015년1월재안휘성제이인민의원신경외과주원적118례개로수술환자,안절구봉합방법분위2조(전통봉합조51례화무선결봉합조67례),병통계분석2조환자절구봉합시간、술후절구갑급유합솔、선결배이반응등지표적차이. 결과 전통봉합조절구봉합시간위(27.35±1.85) rain;갑급유합45례,을급유합6례;발생선결배이반응14결차,기중1례선결배이반응치로골수보재료외로.무선결봉합조절구봉합시간위(18.36±2.50) rain;갑급유합63례,을급유합4례;발생선결배이반응0례차.2조환자절구봉합시간、선결배이반응발생솔비교차이균유통계학의의(P＜0.05),절구갑급유합솔(88.24％vs 94.03％)비교차이무통계학의의(P=0.263). 결론 피하무선결봉합법능구축단절구봉합시간급종근본상소제선결배이반응,치득추엄응용.
Objective To introduce the method of non-knot subcutaneous suture technique and explore the application value of this method in scalp incision suture.Methods One hundred and eighteen patients,admitted to and performed craniotomy in our hospital from January 2008 and January 2015,were enrolled and divided into traditional suture group (n=51) and non-knot subcutaneous suture (n=67) according to the suture methods.The incision suture time,class A or B healing rate and rejection reaction in the two groups were analyzed.Results Time of traditional incision suture was (27.35± 1.85) min;there were 45 patients having class A healing and 6 class B healing;t4 times of rejection including 1 having knotting reaction leading to explosion of bone repair material were noted.However,time of non-knot subcutaneous suture was (18.36±2.50) min;and there were 63 patients having class A healing and 4 class B healing;and no rejection was noted.Statistically significant differences were noted between the two groups in the incision suture time and rejection rate (P＜0.05),while there was no significant difference in the incision healing level (88.24％ vs.94.03％,P=0.263).Conclusion Non-knot subcutaneous suture technique can shorten the suture time and eliminate the knot rejection,which is easy to learn and promote.
