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目的比较全层连续缝合法和分层缝合法在急诊腹部手术中的切口愈合效果。方法将符合纳入标准的急诊腹部手术患者随机分为全层缝合组和分层缝合组,比较2组患者的切口愈合效果。结果全层缝合组的关腹时间短于分层缝合组(P=0.000),但在切口液化发生率、切口感染发生率、总切口并发症发生率、切口愈合及术后住院时间方面,2组的差异均无统计学意义(P>0.05)。26例细菌培养结果为阳性(全层缝合组10例,分层缝合组16例)的患者中,致病菌主要为大肠埃希菌(11例)和铜绿假单胞菌(7例)。结论相较于分层缝合法,急诊腹部手术中采用全层缝合法既不增加切口并发症的发生率,又节省手术时间,对于危重患者具有重要的意义。
Objective To compare the effect of incision healing in emergency abdominal surgery with full-thickness continuous suture and stratified suture. Methods Acute abdominal surgery patients who met the inclusion criteria were randomly divided into full-thickness suture group and stratified suture group. The incision healing effect was compared between the two groups. Results The laparotomy time in the full-thickness suture group was shorter than that in the stratified suture group (P = 0.000). However, the incidence of incision liquefaction, the incision infection rate, the incidence of total incision complications, incision healing and postoperative hospital stay 2 There was no significant difference between groups (P> 0.05). Of 26 patients with positive bacterial culture (10 in full-thickness sutures and 16 in stratified sutures), the majority of pathogenic bacteria were Escherichia coli (11) and Pseudomonas aeruginosa (7). Conclusion Compared with stratified suture method, the use of full-thickness suture in emergency abdominal surgery does not increase the incidence of incision complications, but also save the operation time, which is of great significance to critically ill patients.