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目的探讨横切口剖宫产皮下脂肪层不缝合术的临床效果。方法 2011年1月—2012年1月128例产妇作为观察组,对其行横切口剖宫产皮下脂肪层不缝合术;2009年12月—2010年12月128例产妇作为对照组,对其行传统的横切口剖宫产皮下脂肪层缝合术。结果观察组产妇的伤口愈合不良率(0.78%),肛门排气时间(17.9±9.1)min,切口缝合时间(4.3±1.7)min均明显低于对照组(t=18.67,11.09,P<0.01);术后42 d,观察组产妇皮下硬结发生率为0.78%显著低于对照组产妇皮下硬结发生率35.94%(χ2=11.06,P<0.01);观察组4例产妇切口瘢痕大于1 mm,对照组15例产妇切口瘢痕大于1 mm,2组差异有统计学意义(χ2=5.56,P<0.05)。结论腹部横切口皮下脂肪层不缝合术与传统手术方式相比具有手术时间短,伤口愈合不良率低,切口瘢痕小的优点,值得在临床推广。
Objective To investigate the clinical effect of non-suture of subcutaneous fat layer in cesarean section of transverse incision. Methods A total of 128 maternal women from January 2011 to January 2012 were selected as the observation group for sutureless subcutaneous fat layer underwent transverse incision. 128 maternal women from December 2009 to December 2010 were selected as control group. Traditional transverse incision subcutaneous fat layer suture. Results The rate of maternal wound healing (0.78%), anal exhaust time (17.9 ± 9.1) min and incision suture time (4.3 ± 1.7) min in observation group were significantly lower than those in control group (t = 18.67, 11.09, P <0.01 ). At 42 days after operation, the incidence of subcutaneous induration in the observation group was significantly lower than that in the control group (0.78% vs 35.94%, χ2 = 11.06, P <0.01) Control group, 15 cases of maternal incision scar more than 1 mm, the difference between the two groups was statistically significant (χ2 = 5.56, P <0.05). Conclusion Abdominal transverse incision subcutaneous fat layer is not sutured with traditional surgical methods compared with shorter operation time, low rate of wound healing, incision scar small advantages, it is worth in the clinical promotion.