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目的观察妇产科腹壁横弧形切口做皮内连续缝合的临床及美容意义。方法76例腹壁横弧形切口行皮内连续缝合,对照组80例行传统缝合,观察伤口愈合时间、皮下硬结、感染率、皮肤瘢痕及再次手术切口瘢痕情况。结果实验组均一期甲级愈合,无硬结及明显瘢痕增生,伤口优级愈合及不良反应较对照组差异有统计学意义。结论选择下腹自然皮纹进腹,不缝皮下脂肪、切口两端不打结的皮内缝合伤口能达到满意的愈合。
Objective To observe the clinical and cosmetic significance of transverse incision of abdominal wall of obstetrics and gynecology for intradermal suture. Methods 76 cases of transverse incision of abdominal wall were sutured intradermally. 80 cases of control group were treated by traditional suture. The wound healing time, subcutaneous induration, infection rate, skin scar and re-incision scar were observed. Results In the experimental group, there was a homogeneous grade A healing, no induration and obvious scar hyperplasia, and the superior wound healing and adverse reactions were statistically significant compared with the control group. Conclusion The choice of natural skin dermatoglyphic belly into the abdomen, not subcutaneous fat, incision at both ends of the non-knotted intradermal suture wounds to achieve satisfactory healing.