Journal: Frontier Forum of Clinical Medicine DOI: 10.32629/ffcr.v3i10.21306
Abstract
目的:探究会阴侧切连续缝合与间断缝合产科手术中的运用效果。方法:选择在2024.5-2025.5月于我院进行侧切术并经阴道分娩的100例产妇进行研究,随机数字表法分成对照组和实验组,各50例,对照组间断缝合;实验组连续缝合,对比两组产妇术中出血量、缝合时间、住院时间;对比患者的疼痛程度,依据(VAS视觉模拟评分法评估患者的疼痛程度);评估切口愈合情况。结果:实验组患者术中出血量低于对照组,缝合时间短于对照组(p<0.05),对比切口愈合时间,实验组短于对照组(p<0.05);评估疼痛程度,实验组低于对照组(p<0.05);分析患者切口愈合情况,实验组更低(p<0.05)。结论:在产科手术中在开展会阴侧切术后切口恢复期间,选择连续缝合的方式可以减少术中出血量,缩短缝合时间的同时,减轻产妇术后疼痛,降低并发症的产生,缩短愈合时间的同时,缩短住院时间,值得提倡。
Keywords
会阴侧切;连续缝合;间断缝合;产科手术;运用效果
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[1] 刘亚男,赵杰.会阴侧切连续缝合与间断缝合在产科手术中的运用效果对比[J].系统医学,2025,10(2):152-155.
[2] 李霞华,刘少晓,张婷.会阴侧切连续缝合与间断缝合效果及对产妇切口恢复的影响[J].中国计划生育学杂志,2023,31(3):557-560.
[3] 杜金铭.会阴侧切连续缝合与间断缝合对产妇切口恢复及并发症的影响[J].中文科技期刊数据库(引文版)医药卫生,2023(9):053-055.
[4] 董晶晶,谢静静.会阴侧切连续缝合与间断缝合效果及切口感染危险因素分析[J].中国计划生育学杂志,2023,31(12):2995-2999.
[5] 张然,秦杰琛,路奇军,全艳,薛晓燕,赵敏.不同缝合方法对会阴侧切产妇疼痛感、皮下硬结发生率的影响对比[J].中外医学研究,2025,23(20):144-147.
[6] 洪艳华,马少群,何淑英,黄林梅,刘旭勤.可吸收缝线间断外缝合法对经阴道分娩的会阴伤口术后疼痛程度及康复的影响[J].数理医药学杂志,2020,33(11):1591-1593.
[7] 杨丽娟.联用可吸收线缝合术与保妇康栓对行会阴侧切术的产妇实施治疗临床分析[J].中文科技期刊数据库(文摘版)医药卫生,2024(11):0001-0004.
[8] Grumitt G ,Man R ,Vance L J , et al.Outcomes of suture material, suture technique and tissue adhesives for repair of childbirth-related perineal trauma: A systematic review and meta-analysis.[J].European journal of obstetrics, gynecology, and reproductive biology,2025,312114086.
[9] Roopa N ,Geetanjali D ,Aruna Y R S S , et al.A Randomized, Single-Blind Study Comparing the Clinical Equivalence of Truglyde Fast® and Safil Quick® Polyglycolic Acid Fast-Absorbing Sutures for Episiotomy Repair Following Vaginal Delivery.[J].Cureus,2023,15(7):e42348-e42348.
[10] Nikolaos E ,Martha D ,Mélanie C , et al.Episiotomy practice in France and prevention of high-grade perineal tears at the time of operative vaginal delivery: a prospective multicentre ancillary cohort study.[J].International urogynecology journal,2023,35(2):319-326.
[2] 李霞华,刘少晓,张婷.会阴侧切连续缝合与间断缝合效果及对产妇切口恢复的影响[J].中国计划生育学杂志,2023,31(3):557-560.
[3] 杜金铭.会阴侧切连续缝合与间断缝合对产妇切口恢复及并发症的影响[J].中文科技期刊数据库(引文版)医药卫生,2023(9):053-055.
[4] 董晶晶,谢静静.会阴侧切连续缝合与间断缝合效果及切口感染危险因素分析[J].中国计划生育学杂志,2023,31(12):2995-2999.
[5] 张然,秦杰琛,路奇军,全艳,薛晓燕,赵敏.不同缝合方法对会阴侧切产妇疼痛感、皮下硬结发生率的影响对比[J].中外医学研究,2025,23(20):144-147.
[6] 洪艳华,马少群,何淑英,黄林梅,刘旭勤.可吸收缝线间断外缝合法对经阴道分娩的会阴伤口术后疼痛程度及康复的影响[J].数理医药学杂志,2020,33(11):1591-1593.
[7] 杨丽娟.联用可吸收线缝合术与保妇康栓对行会阴侧切术的产妇实施治疗临床分析[J].中文科技期刊数据库(文摘版)医药卫生,2024(11):0001-0004.
[8] Grumitt G ,Man R ,Vance L J , et al.Outcomes of suture material, suture technique and tissue adhesives for repair of childbirth-related perineal trauma: A systematic review and meta-analysis.[J].European journal of obstetrics, gynecology, and reproductive biology,2025,312114086.
[9] Roopa N ,Geetanjali D ,Aruna Y R S S , et al.A Randomized, Single-Blind Study Comparing the Clinical Equivalence of Truglyde Fast® and Safil Quick® Polyglycolic Acid Fast-Absorbing Sutures for Episiotomy Repair Following Vaginal Delivery.[J].Cureus,2023,15(7):e42348-e42348.
[10] Nikolaos E ,Martha D ,Mélanie C , et al.Episiotomy practice in France and prevention of high-grade perineal tears at the time of operative vaginal delivery: a prospective multicentre ancillary cohort study.[J].International urogynecology journal,2023,35(2):319-326.
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