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目的探讨和对比皮肤表面缝合器与传统针线缝合方式在闭合胆道手术切口中的疗效及护理方法。方法对60例肝胆手术患者进行随机分组,观察组31例采用皮肤表面缝合器闭合切口,对照组29例采用传统的针线缝合闭合切口,对比两种缝合方法的切口表层缝合时间、术后7~14 d切口愈合情况,以及不良反应发生率。结果观察组切口缝合表层时间1.5 min,对照组8.5 min,两组比较差异有统计学意义(P<0.05);两组患者切口愈合情况差异无统计学意义(P>0.05);观察组发生缝线反应为0,对照组为15例,两组比较差异有统计学意义(P<0.05);观察组术后28 d切口的缝线压痕发生为0,而对照组为全部29例,两组比较差异有统计学意义(P<0.05)。结论采用医用皮肤表面缝合器闭合肝胆手术切口安全可行,操作简便易行,且可减少切口愈合后的瘢痕形成,可用于皮肤切口的一期闭合。
Objective To investigate and compare the curative effect of skin surface suture and traditional needle-thread suture in the surgical incision of closed biliary tract and the nursing methods. Methods Sixty patients undergoing hepatobiliary surgery were randomly divided into two groups. The observation group (31 cases) was treated by skin surface suture closure. The control group (29 cases) received conventional needle and suture closure. The time of suture closure was compared between the two methods. 14 d incision healing, and the incidence of adverse reactions. Results In the observation group, the time of incision suture surface layer was 1.5 min and the control group 8.5 min, there was significant difference between the two groups (P <0.05). There was no significant difference in incision healing between the two groups (P> 0.05) Line reaction was 0, the control group was 15 cases, the difference between the two groups was statistically significant (P <0.05); the observation group 28 days after incision suture indentation was 0, while the control group was all 29 cases, two The difference was statistically significant (P <0.05). Conclusion It is safe and feasible to close the incision of liver and gallbladder with medical skin surface suture device. It is simple and easy to operate and can reduce the scar formation after incision healing. It can be used in the first-stage closure of skin incision.