改良式连续褥内缝合技术结合HA预防妇产科手术后粘连

摘要

目的：研究及观察改良式连续褥内缝合技术结合HA预防妇产科手术后粘连的临床效果。方法选取2013年1月～2015年1月于本院进行剖宫产的400例患者为研究对象，将其根据干预方法的不同分为A组（改良式连续褥内缝合技术结合HA组）100例、B组（改良式连续褥内缝合技术组）100例、C组（HA结合传统缝合组）100例和D组（传统缝合组）100例，然后将四组患者壁层粘连率、脏器粘连率及切口愈合情况进行比较。结果 A组的壁层粘连率及脏器粘连率均低于B组、C组及D组，B组及C组则低于D组，A组患者切口愈合好于B组、C组及D组，B组及C组则好于D组，P均＜0.05，均有显著性差异。结论改良式连续褥内缝合技术结合HA预防妇产科手术后粘连的临床效果较好，更为适用于妇产科手术患者。%Objective To study and observe the clinical effect of improved continuous mattress suture technique combined with HA in preventing the postoperative adhesion of patients in department of gynaecology and obstetrics. Methods 400 patients with ceasarean section in our hospital from January 2013 to January 2015 were the study object, and they were divided into group A(improved continuous mattress suture technique combined with HA group)100 cases, group B(improved continuous mattress suture technique group)100 cases, group C(HA combined with traditional suture group)100 cases and group D(traditional suture group)100 cases according to the differences of intervention methods, then the parietal adhesion rates, organ adhesion rates and incision healing situation of four groups were compared. Results The parietal adhesion rates and organ adhesion rates of group A were lower than those of group B, group C and group D, the rates of group B and group C were lower than those of group D, the incision healing situation of group A were better than those of group B, group C and group D, the healing situation of group B and group C were better than that of group D, all P<0.05,there were all significant differences. Conclusion The clinical effect of improved continuous mattress suture technique combined with HA in preventing the postoperative adhesion of patients in department of gynaecology and obstetrics are better, and it is more suitable for the operative patients in department of gynaecology and obstetrics.