组织胶水在腹股沟疝无张力修补术切口的应用研究

摘要

目的：通过对应用 Histoacryl 组织胶水比较传统缝合法在腹股沟疝无张力修补术中切口的愈合效果，探讨 Histo-acryl 组织胶水促进皮肤切口愈合的临床价值。方法：对278例腹股沟疝择期局部麻醉下行无张力修补术患者随机分为：组织胶水组和传统缝合两组，传统缝合组（135例）采用传统皮内缝合切口，组织胶水组（143例）采用 Histoacryl 组织胶水黏合切口，对比分析两组患者手术切口的愈合情况、住院时间、切口美观度、术后疼痛程度（VAS 疼痛评分）及并发症。结果：两组切口甲级愈合无差异（P ﹥0.05）；术后6 h、12 h 胶水组疼痛评分低于缝合组（P ﹤0.05），术后24 h 两组疼痛评分差异无统计学意义（P ﹥0.05）。胶水组患者住院时间较传统缝合组明显缩短（P ﹤0.05）；应用 Histoacryl 组织胶水黏合切口患者对切口愈合满意度优于传统缝合组（P ﹤0.05）。结论：Histoacryl 组织胶水在择期腹股沟疝无张力修补术中的切口应用能更好地缓解患者术后早期疼痛，缩短患者住院时间，提高患者对手术切口外观的满意度，具有临床应用价值。%Objective By Histoacryl tissue glues compared with conventional suture in tension - free inguinal hernia repair in wound healing effects,Histoacryl discussed clinical value of tissue glues skin wound healing. Method On 278 cases groin hernia elective under lo-cal anesthesia downward no tension patch operation patients random were randomly divided into:Organization glue group and traditional su-ture group,traditional suture Group(135 cases)used traditional intradermal suture incision,organization glue Group(143 cases)used Histoacryl organization glue bonded incision,compared analysis two group patients surgery incision of healing situation,and hospital time, and incision beautiful degrees,and operation Hou pain degree(VAS pain score)and the complications. Results Margin a - grade recovery of the two groups had not statistically significant(P ﹥ 0. 05);Pain score of the organization glue group was lower than that of the traditional suture group at 6 h and 12 h after operation,Pain score of the two groups was not statistically signiticant(P ﹥ 0. 05). Length of patientstal of the organization glue group was shorter than that of the traditional suture group(P ﹤ 0. 05);the satistaction of margin kecovery in the or-ganization glue group was higher than that of the traditional suture group(P ﹤ 0. 05). Conclusion Histoacryl tissue glues in selective ap-plication of tension - free inguinal hernia repair incision to relieve postoperative pain better,shorten patient hospital stays,increased patient satisfaction with the incision appearance,has clinical value.