| 摘要: |
| ［摘要］ 目的 探讨“十字”缝合法在肠造口还纳手术中的应用效果。方法 选择玉林市红十字会医院普通外科2019年2月至2020年10月行肠造口还纳手术患者38例，均采用“十字”缝合法重建腹部切口。记录手术时间、术中出血量、术后疼痛评分、术后住院时间以及切口并发症发生情况。结果 手术时间为30～85 min（平均50 min）；术中出血量为15～30 ml（平均20 ml）；术后住院时间5～14 d（平均8.6 d）。术后第1、2、3天的疼痛评分中位数分别为3.5分、3.5分、2.5分。术后发生切口感染2例（5.26%），切口皮下脂肪液化渗液1例（2.63%），切口并发症发生率为7.89%（3/38）。术后经1个月随访，无新发伤口并发症病例，患者对伤口恢复效果满意。结论 “十字”缝合法能够降低切口张力，促进伤口愈合，减轻术后疼痛，缩短住院时间，近期效果显著。 |
| 关键词: 肠造口还纳 “十字”缝合 切口感染 |
| DOI：10.3969/j.issn.1674-3806.2021.07.13 |
| 分类号:R 615 |
| 基金项目:广西卫健委科研课题（编号：Z20190131） |
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| Application effects of cross suture closure method on stoma reversal |
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YANG Sheng-fu, LI Xiao-he, WU Dong-bo, et al.
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Department of General Surgery, Yulin Red Cross Hospital, Guangxi 537000, China
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| Abstract: |
| ［Abstract］ Objective To explore the application effects of cross suture closure method on stoma reversal. Methods Thirty-eight patients who underwent stoma reversal in the Department of General Surgery, Yulin Red Cross Hospital from February 2019 to October 2020 were selected. The abdominal incisions were reconstructed in all the 38 patients using cross suture closure method. The operation time, intraoperative bleeding volume, postoperative pain score, postoperative hospital stay, and the incidence of incision complications were recorded. Results The operation time was 30-85 min(50 min on average). The intraoperative bleeding volume was 15-30 ml(20 ml on average). The postoperative hospital stay was 5-14 days(8.6 days on average). The median pain scores on the first, the second, and the third day after operation were 3.5 points, 3.5 points, and 2.5 points, respectively. After operation, incision infection occurred in 2 cases(5.26%), and incision subcutaneous fat liquefaction and exudation occurred in 1 case(2.63%), and the incidence of incision complications was 7.89%(3/38). After 1 month of follow-up, there were no new cases of wound complications, and the patients were satisfied with the wound recovery. Conclusion Cross suture closure method can reduce incision tension, promote wound healing, relieve postoperative pain and shorten the length of hospital stay, and the short-term treatment effect is remarkable. |
| Key words: Stoma reversal Cross suture closure Incision infection |
