[1]杜昆利,任佳慧,张雅静,等.全层间断缝合法对回肠造口还纳术后切口愈合的影响[J].陕西医学杂志,2020,49(12):1654-1656.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.031]
　DU Kunli,REN Jiahui,ZHANG Yajing,et al.Effect of full-thickness interrupted suture on wound healing after ileostomy closure[J].,2020,49(12):1654-1656.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.031]
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全层间断缝合法对回肠造口还纳术后切口愈合的影响
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年12期
页码:
1654-1656
栏目:
临床研究
出版日期:
2020-12-05

文章信息/Info

Title:
Effect of full-thickness interrupted suture on wound healing after ileostomy closure
作者:
杜昆利1; 任佳慧2; 张雅静1; 郑建勇1△
1.空军军医大学西京医院胃肠外科(西安 710032); 2.西安马应龙肛肠医院肛肠科(西安 710005)
Author(s):
DU Kunli; REN Jiahui; ZHANG Yajing; et al.
Department of Gastrointestinal Surgery,Xijing Hospital,Air Force Medical University(Xi'an 710032)
关键词:
回肠造口还纳;  全层间断缝合;  直肠癌;  切口愈合;  并发症;  术后恢复
Keywords:
Ileostomy closure;  Full-thickness interrupted suture;  Rectal cancer;  Incision healing;  Complications;  Postoperative recovery
分类号:
R735.3
DOI:
DOI:10.3969/j.issn.1000-7377.2020.12.031
文献标志码:
A
摘要:
目的:探讨全层间断缝合法对回肠造口还纳术后切口愈合的影响。方法:将96例直肠癌术后行回肠造口还纳术的患者分为试验组(50例)和对照组(46例)。试验组采用全层间断缝合法,对照组采用常规分层间断缝合法。比较两组切口缝合时间、术后疼痛评分、排气时间、排便时间、术后切口并发症发生情况及切口愈合时间。结果:试验组切口缝合时间、切口愈合时间短于对照组,切口脂肪液化率和切口感染率低于对照组,术后6 h疼痛评分高于对照组(均P<0.05)。结论:回肠造口还纳术后采取全层间断缝合法可以缩短切口缝合时间,减少术后并发症的发生,促进患者术后恢复。
Abstract:
Objective: To investigate the effect of full-thickness intermittent suture on wound healing after ileostomy closure. Methods: 96 patients who underwent ileostomy after rectal cancer surgery were divided into experimental group(50 cases)and control group(46 cases). The experimental group received full-thickness interrupted suture,and the control group received conventional layered interrupted suture. The incision suture time,postoperative pain score,exhaust time,defecation time,incidence of postoperative incision complications and incision healing time were compared between the two groups. Results: The incision suture time and incision healing time in the experimental group were shorter than those in the control group,and the fat liquefaction rate and the incision infection rate were lower than those in the control group,and the pain score at 6 hours after surgery was higher than that in the control group(all P<0.05). Conclusion: The full-thickness intermittent suture after ileostomy closure can shorten the incision suture time,reduce the incidence of postoperative complications,and promote the postoperative recovery of patients.

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更新日期/Last Update: 2020-12-11