2种缝合方式对于首次剖宫产术后切口愈合临床效果观察(1)
摘要：目的 探析两种缝合方式在首次剖宫产术后子宫切口愈合中的临床应用效果。方法 选取2014年6月～2016年1月景德镇市妇幼保健院收治的120例首次剖宫产产妇为主要研究对象，根据随机分配的原则将其分为两组，60例/组。对照组患者接受传统双层子宫切口缝合法(I号DG线连续缝合子宫肌全层，再用1号丝线连续缝合浆膜层)，观察组患者接受单层缝合法(I号DG线连续缝合子宫肌全层，再用I号DG线连续褥式缝合子宫肌层及浆膜层)。对两组患者进行为期1年的术后随访，对患者术后各项临床指标进行对比分析。结果 观察组患者的术后恶露时间、月经不调发生率、子宫切口憩室发生率上明显优于对照组(P<0.05)；两组患者在手术时间、术中出血量和产后出血发生率上差异无统计学意义(P>0.05)。结论 对于首次剖宫产术后切口的缝合上，采用连续缝合子宫肌全层、连续褥式缝合子宫肌层及浆膜层的缝合方式可获得理想效果，最大程度降低对产妇身体健康的影响，值得在临床上进一步应用和推广。
关键词：缝合方式；首次剖宫产；术后切口愈合；临床应用效果
, 百拇医药
Abstract：Objective To explore the clinical effect of two kinds of suture for the first time in the healing of uterine incision after cesarean section. Methods From June 2014～2016 January in Jingdezhen maternal and child health hospital treated 120 cases of the first cesarean section as the main research object，according to the principle of random distribution will be divided into two groups，60 cases in each group.The control group received traditional double uterine incision suture(I DG line continuous suture of uterine muscle layer，with 1 silk continuous suture serosal layer)，patients in the observation group received single suture(I DG line continuous suture of uterine muscle layer，and then I，DG line continuous mattress suture of myometrium and serosa).Two groups of patients for a period of 1 years of follow-up，the comparative analysis of the clinical parameters of patients after operation.Results Postoperative lochia time，the incidence of abnormal menstruation，uterine incision diverticulum incidence was significantly better in the control group(P<0.05)；two patients in the operation time，bleeding volume and the incidence of postpartum hemorrhage had no significant difference (P>0.05).Conclusion For the first incision after cesarean section，with continuous suture of uterus muscle layer，continuous mattress suture of myometrium and serous layer suture method can obtain ideal effect，reduce the maximum impact on maternal health，and is worthy of further promotion and application in clinic.
, 百拇医药
Key words：Suture method；First cesarean section；Postoperative wound healing；Clinical application effect
近年来，我国剖宫产率不断升高，为高危妊娠、異常分娩产妇提供了绿色通道，切实保障了产妇及围产儿的生命健康，大大降低围产儿死亡率。但关于剖宫产的安全性一直是妇科临床上关注和研究的重点问题，采用何种方式缝合首次剖宫产术后切口对切口愈合起到重要的影响作用[1-2]。本次研究拟以2014年6月～2016年1月景德镇市妇幼保健院收治的120例首次剖宫产产妇为主要研究对象，对两种缝合方式在首次剖宫产术后切口愈合中的临床应用效果进行分析和评价，具体如下。
1资料与方法
1.1一般资料 选取2014年6月～2016年1月景德镇市妇幼保健院收治的120例首次剖宫产产妇为主要研究对象，根据随机分配的原则将其分为对照组和观察组各60例。对照组年龄21～40岁，平均年龄(32.16±2.17)岁；孕周为38～42 w，平均孕周为(39.78±2.13)w。观察组年龄20～39岁，平均年龄(32.78±2.53)岁；孕周为38～41 w，平均孕周为(39.77±2.21)w。将两组产妇的年龄及孕周基线资料纳入到统计学软件中，发现两组产妇在一般资料上对比差异无统计学意义(P>0.05)，有可比性，可进行临床对照研究。, http://www.100md.com(周文英)
关键词：缝合方式；首次剖宫产；术后切口愈合；临床应用效果
, 百拇医药
Abstract：Objective To explore the clinical effect of two kinds of suture for the first time in the healing of uterine incision after cesarean section. Methods From June 2014～2016 January in Jingdezhen maternal and child health hospital treated 120 cases of the first cesarean section as the main research object，according to the principle of random distribution will be divided into two groups，60 cases in each group.The control group received traditional double uterine incision suture(I DG line continuous suture of uterine muscle layer，with 1 silk continuous suture serosal layer)，patients in the observation group received single suture(I DG line continuous suture of uterine muscle layer，and then I，DG line continuous mattress suture of myometrium and serosa).Two groups of patients for a period of 1 years of follow-up，the comparative analysis of the clinical parameters of patients after operation.Results Postoperative lochia time，the incidence of abnormal menstruation，uterine incision diverticulum incidence was significantly better in the control group(P<0.05)；two patients in the operation time，bleeding volume and the incidence of postpartum hemorrhage had no significant difference (P>0.05).Conclusion For the first incision after cesarean section，with continuous suture of uterus muscle layer，continuous mattress suture of myometrium and serous layer suture method can obtain ideal effect，reduce the maximum impact on maternal health，and is worthy of further promotion and application in clinic.
, 百拇医药
Key words：Suture method；First cesarean section；Postoperative wound healing；Clinical application effect
近年来，我国剖宫产率不断升高，为高危妊娠、異常分娩产妇提供了绿色通道，切实保障了产妇及围产儿的生命健康，大大降低围产儿死亡率。但关于剖宫产的安全性一直是妇科临床上关注和研究的重点问题，采用何种方式缝合首次剖宫产术后切口对切口愈合起到重要的影响作用[1-2]。本次研究拟以2014年6月～2016年1月景德镇市妇幼保健院收治的120例首次剖宫产产妇为主要研究对象，对两种缝合方式在首次剖宫产术后切口愈合中的临床应用效果进行分析和评价，具体如下。
1资料与方法
1.1一般资料 选取2014年6月～2016年1月景德镇市妇幼保健院收治的120例首次剖宫产产妇为主要研究对象，根据随机分配的原则将其分为对照组和观察组各60例。对照组年龄21～40岁，平均年龄(32.16±2.17)岁；孕周为38～42 w，平均孕周为(39.78±2.13)w。观察组年龄20～39岁，平均年龄(32.78±2.53)岁；孕周为38～41 w，平均孕周为(39.77±2.21)w。将两组产妇的年龄及孕周基线资料纳入到统计学软件中，发现两组产妇在一般资料上对比差异无统计学意义(P>0.05)，有可比性，可进行临床对照研究。, http://www.100md.com(周文英)