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目的观察不同缝线缝合妇科腹部皮肤纵切口的效果,为临床选择切口缝线提供参考。方法 120例行妇科手术的皮肤纵切口患者随机分为A、B、C三组,各40例,A组皮肤切口选择薇乔可吸收线皮内缝合,B组皮肤切口选择慕丝线皮内缝合,C组选择钛镍记忆合金组织吻合器皮内缝合。比较三组患者缝线缝合妇科腹部皮肤纵切口的效果。结果三组患者切口脂肪液化,切口裂开,切口感染情况比较,差异无统计学意义(P>0.05)。薇乔可吸收线组异物反应、线头排斥反应和术后切口瘢痕较其他缝线组明显。慕丝线缝合组切口拆线疼痛明显。甲级愈合率三组比较,差异无统计学意义(P>0.05)。结论皮内缝合时最好选择能拆除的缝线,钛镍记忆合金组织吻合器较昂贵,可以满足大多数患者的需求,值得在妇科腹部皮肤纵切口手术中推广使用。
Objective To observe the effects of different sutures on the longitudinal incision of the skin of the abdomen in gynecology and to provide a reference for the clinical selection of incision sutures. Methods A total of 120 patients undergoing gynecologic surgery for skin longitudinal incision were randomly divided into three groups (A, B and C), 40 patients in each group. Group A was treated with intravitreal suture of Vicky absorbable line, skin incision of group B was treated with mousse intradermal suture , C group choose titanium-nickel memory alloy tissue stapler intradermal suture. Three groups of patients sutured gynecological abdominal skin longitudinal incision effect. Results There was no significant difference in incision fat liquefaction, incision rupture and incision infection among the three groups (P> 0.05). Weiqiao absorption line group of foreign body reactions, rejection and postoperative incision scar suture group was significantly more than other groups. Mousse suture group suture removal stitches obvious pain. Grade A healing rate in the three groups, the difference was not statistically significant (P> 0.05). Conclusion The best choice of suture can be removed within the suture, titanium-nickel memory alloy tissue stapler is more expensive to meet the needs of most patients, it is worth to promote the use of longitudinal incision in the skin of gynecological abdominal surgery.