皮下美容缝合技术改善剖宫产术后瘢痕形成的效果研究(1)
[摘要]目的：研究皮下美容缝合技术用于剖宫产改善瘢痕形成的效果。方法：选取2016年8月-2017年6月在笔者医院行剖腹产的初产妇98例，根据缝合方法不同分为对照组和观察组。对照组采用常规缝合技术，观察组采用皮下美容缝合技术，分析两种缝合技术的临床效果。结果：观察组缝合时间、切口愈合时间、术后切口瘢痕增生率、并发症发生率低于对照组，差异有统计学意义(P<0.05)；但住院时间与对照组比较，差异无统计学意义(P>0.05)。观察组术后7d、30d时视觉模拟评分(Visual analogue score，VAS)低于对照组；术后3个月、6个月、12个月时瘢痕最薄厚度和瘢痕宽度均小于对照组；缝线反应0度率、腹部美容满意度高于对照组，差异均有统计学意义(P<0.05)。结论：皮下美容缝合技术用于剖宫产可显著改善瘢痕形成，减少并发症发生，腹部美容满意度高。
[关键词]美容缝合；剖宫产；瘢痕；并发症
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0066-03
, 百拇医药
Abstract： Objective To study the effect of subcutaneous cosmetic suture technique on the improvement of scar formation by cesarean section. Methods Ninety-eight women who underwent caesarean section in our hospital from August 2016 to June 2017 were selected and divided into the control group and the observation group according to different suture methods. The control group were treated with conventional suture techniques， and the observation group were treated with subcutaneous aesthetic suture techniques， and the clinical effects of the two suture techniques were analyzed. Results The suture time， wound healing time， postoperative scar hyperplasia rate and complication rate of the observation group were lower than those of the control group， the differences were statistically significant(P<0.05). However， there was no significant difference in hospitalization time between the two groups(P>0.05). The visual analogue score of the observation group was lower than that of the control group on the 7d and 30d after operation， the thinnest thickness and width of the scar at the 3， 6 and 12 months after operation were lower than those of the control group， the 0 degree rate of suture reaction and the satisfaction of abdominal cosmetology were higher than those of the control group(P<0.05). Conclusion Subcutaneous cosmetic suture technique for cesarean section can significantly improve the formation of scars， reduce the incidence of complications， abdominal cosmetic satisfaction is high.
, 百拇医药
Key words： cosmetic suture； cesarean section； scar； complication
剖宮产术是产科临床常用的手术方式，在解决难产、高危妊娠、改善母婴结局等方面具有重要作用。近年来由于二胎政策的开放，高龄、高危产妇比例上升，剖宫产率也随之明显升高[1]。传统的剖宫产手术腹部切口的缝合采用间断褥式缝合方式，切口对合理想，术后拆线时疼痛轻微。但部分产妇可能出现切口愈合不良、切口疼痛、切口处瘢痕组织增生明显等问题，腹部美容效果较差，对其产后生活质量造成一定的不良影响[2]。
皮下美容缝合技术是近年来应用较多的缝合方式，采用可吸收缝线缝合，可在机体蛋白水解酶作用下吸收，避免了术后拆线的痛苦。自切口一侧顶端作皮内连续褥式缝合至对侧顶端，可消灭传统缝合所致的真皮、脂肪层间的横行间隙，避免发生脂肪层液化。同时可减少皮层缝合张力，减轻缝合线对皮下纤维结缔组织的刺激而引起的细胞增生，有利于减少瘢痕组织形成[3]。本研究探讨了皮下美容缝合技术改善剖宫产术后瘢痕形成的效果，现报道如下。
1 资料和方法
1.1 一般资料：选择2016年8月-2017年6月在笔者医院行剖腹产的初产妇98例，根据缝合方法不同分为对照组和观察组，每组49例。对照组年龄22～32岁，平均(27.01±3.11)岁；观察组年龄22～32岁，平均(26.98±3.07)岁。纳入标准：①均符合剖宫产手术指征；②初产妇；③均为单胎足月妊娠。排除标准：①合并糖尿病等影响本研究结果的相关慢性疾病者；②合并严重肝、肾功能障碍、恶性肿瘤、凝血功能障碍者；③有相关手术禁忌证者；④精神异常，无法正常沟通者。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(唐大清 王媛 曾敏娟)
[关键词]美容缝合；剖宫产；瘢痕；并发症
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0066-03
, 百拇医药
Abstract： Objective To study the effect of subcutaneous cosmetic suture technique on the improvement of scar formation by cesarean section. Methods Ninety-eight women who underwent caesarean section in our hospital from August 2016 to June 2017 were selected and divided into the control group and the observation group according to different suture methods. The control group were treated with conventional suture techniques， and the observation group were treated with subcutaneous aesthetic suture techniques， and the clinical effects of the two suture techniques were analyzed. Results The suture time， wound healing time， postoperative scar hyperplasia rate and complication rate of the observation group were lower than those of the control group， the differences were statistically significant(P<0.05). However， there was no significant difference in hospitalization time between the two groups(P>0.05). The visual analogue score of the observation group was lower than that of the control group on the 7d and 30d after operation， the thinnest thickness and width of the scar at the 3， 6 and 12 months after operation were lower than those of the control group， the 0 degree rate of suture reaction and the satisfaction of abdominal cosmetology were higher than those of the control group(P<0.05). Conclusion Subcutaneous cosmetic suture technique for cesarean section can significantly improve the formation of scars， reduce the incidence of complications， abdominal cosmetic satisfaction is high.
, 百拇医药
Key words： cosmetic suture； cesarean section； scar； complication
剖宮产术是产科临床常用的手术方式，在解决难产、高危妊娠、改善母婴结局等方面具有重要作用。近年来由于二胎政策的开放，高龄、高危产妇比例上升，剖宫产率也随之明显升高[1]。传统的剖宫产手术腹部切口的缝合采用间断褥式缝合方式，切口对合理想，术后拆线时疼痛轻微。但部分产妇可能出现切口愈合不良、切口疼痛、切口处瘢痕组织增生明显等问题，腹部美容效果较差，对其产后生活质量造成一定的不良影响[2]。
皮下美容缝合技术是近年来应用较多的缝合方式，采用可吸收缝线缝合，可在机体蛋白水解酶作用下吸收，避免了术后拆线的痛苦。自切口一侧顶端作皮内连续褥式缝合至对侧顶端，可消灭传统缝合所致的真皮、脂肪层间的横行间隙，避免发生脂肪层液化。同时可减少皮层缝合张力，减轻缝合线对皮下纤维结缔组织的刺激而引起的细胞增生，有利于减少瘢痕组织形成[3]。本研究探讨了皮下美容缝合技术改善剖宫产术后瘢痕形成的效果，现报道如下。
1 资料和方法
1.1 一般资料：选择2016年8月-2017年6月在笔者医院行剖腹产的初产妇98例，根据缝合方法不同分为对照组和观察组，每组49例。对照组年龄22～32岁，平均(27.01±3.11)岁；观察组年龄22～32岁，平均(26.98±3.07)岁。纳入标准：①均符合剖宫产手术指征；②初产妇；③均为单胎足月妊娠。排除标准：①合并糖尿病等影响本研究结果的相关慢性疾病者；②合并严重肝、肾功能障碍、恶性肿瘤、凝血功能障碍者；③有相关手术禁忌证者；④精神异常，无法正常沟通者。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(唐大清 王媛 曾敏娟)
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