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。
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.
作者
杜昆利
任佳慧
张雅静
郑建勇
DU Kunli;REN Jiahui;ZHANG Yajing(Department of Gastrointestinal Surgery,Xijing Hospital,Air Force Medical University,Xi’an 710032)
出处
《陕西医学杂志》
CAS
2020年第12期1654-1656,共3页
Shaanxi Medical Journal
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
Ileostomy closure
Full-thickness interrupted suture
Rectal cancer
Incision healing
Complications
Postoperative recovery
