全层减张缝合预防普外科腹部Ⅲ类手术切口感染的效果分析.pdfVIP

CHINESECOMMUNITYDOCTORS论著·临床论坛

全层减张缝合预防普外科腹部Ⅲ类手术切口感染的效果分析

王世军何静波(通信作者)

443600湖北省宜昌市秭归县人民医院，湖北宜昌

doi:10.3969/j.issn.1007-614x.2023.26.015

摘要目的：探讨全层减张缝合预防普外科腹部Ⅲ类手术切口感染的效果。方法：选取2018年1月—2020年12月湖

北省宜昌市秭归县人民医院收治的腹部Ⅲ类手术切口的患者71例作为研究对象，采用随机数字表法分为观察组(n=34)

与对照组(n=37)。对照组采用常规分层缝合，观察组采用全层减张缝合。比较两组感染情况、住院时间与并发症发生

率。结果：观察组切口感染率低于对照组，术后住院时间短于对照组，差异有统计学意义(P＜0.001)。观察组术后3个

月内并发症发生率低于对照组，差异有统计学意义(P=0.002)。结论：普外科腹部Ⅲ类手术切口患者采取全层减张缝合

的效果良好，可降低切口感染率，缩短住院时间，降低术后并发症发生率。

关键词腹部开放手术；减张缝合；切口感染

TheEffectofFull-layerTension-ReducedSuturetoAvoidIncisionInfectioninGeneralAbdominalSurgery-TypeIII

WangShijun,HeJingbo(Correspondingauthor)

ZiguiCountyPeoplesHospital,YichangCity443600,HubeiProvince,China

AbstractObjetive:Toinvestigatetheeffectoffull-layertension-reducedsutureinavoidingincisioninfectioningeneral

abdominalsurgerytypeIII.Methods:71patientsundergoingabdominalsurgerytypeIIIadmittedtoZiguiCountyPeoples

HospitalofYichangCity,HubeiProvincefromJanuary2018toDecember2020wereselectedasthestudysubjects,andwere

dividedintotheobservationgroup(n=34)andthecontrolgroup(n=37)usingthemethodofrandomizednumericaltable.

Conventionallayeredsuturewasusedinthecontrolgroup,andfull-layertension-reducedsuturewasexploredintheobservation

group.Theinfectionincidences,hospitalstaydurationandcomplicationratewerecomparedbetweenthetwogroups.Results:The

incisioninfectionrateoftheobservationgroupwaslowerthanthatofthecontrolgroup,andthepostoperativehospitalizationtime

wasshorterthanthatofthecontrolgroup,withstatisticallysignificantdifferences(P0.001).Thecomplicationrateinthe

observationgroupwaslowerthanthatinthecontrolgroupwithinthreemonthsafteroperation,andthedifferencewasstatistically

significant(P=0.002).Conclusion:Thefull-layertension-reducedsutureinpatientsundergoingabdominals