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目的 :研究无针缝合器闭合再次剖宫产术切口的效果。方法 :107例因疤痕子宫行剖宫产手术的患者,应用立辰无针缝合器闭合切口。另105例疤痕子宫患者采用腹部切口皮内缝合方法,对比两组手术切口的缝合时间、患者满意度、术后疼痛及切口愈合情况。结果 :实验组术后48小时疼痛评分≤2分49例(45.79%),>2~6分58例(54.21%);对照组术后48小时疼痛评分≤2分22例(20.95%),>2~6分83例(79.05%),两组比较,差异有统计学意义。实验组缝合切口皮肤时间(5.31±0.64)s,住院天数(4.33±0.81)d、、伤口瘢痕宽度分别为(2.82±0.63)cm,对照组缝合切口皮肤时间(8.95±1.48)s,住院天数(5.72±1.98)d,伤口瘢痕宽度分别为(6.23±2.24)cm,两组差异有统计学意义。实验组满意度(62.62%)明显高于对照组(38.10%),两组差异有统计学意义。结论 :无针皮肤吻合器可缩短手术时间、术后切口愈合好,术后疼痛明显减轻,患者满意度高,优于皮内缝合法,易被患者所接受,值得进一步推广应用。
Objective: To study the effect of needleless suture closure for cesarean section incision again. Methods: 107 cases of patients with cesarean section due to scarring of uterus were treated with Li Chen needleless suture closure incision. Another 105 patients with uterine scar incision by abdominal incision method, compared the two groups of surgical incision suture time, patient satisfaction, postoperative pain and incision healing. Results: The score of pain in the experimental group was 49 cases (45.79%) ≤ 2 points and 58 cases (54.21%) in 2 to 6 hours after operation, while 22 cases (20.95%) in the control group had pain score ≤ 2 points after 48 hours. > 2 ~ 6 points and 83 cases (79.05%), the difference between the two groups was statistically significant. In the experimental group, the skin incision length (5.31 ± 0.64) s, length of stay (4.33 ± 0.81) d, and wound scar width were (2.82 ± 0.63) cm in the experimental group and 8.95 ± 1.48 (5.72 ± 1.98) d, and the width of wound scar were (6.23 ± 2.24) cm respectively. The difference between the two groups was statistically significant. Satisfaction of the experimental group (62.62%) was significantly higher than that of the control group (38.10%), the difference between the two groups was statistically significant. Conclusion: Needle-free skin stapler can shorten the operation time, heal well after operation, relieve postoperative pain, patients with high satisfaction, superior to the suture method, which is easy to be accepted by patients and worthy of further promotion and application.