[1]王冬梅,朱小蓉.心形美容缝合及皮肤改良缝合对剖宫产减少腹部瘢痕形成的价值[J].医学信息,2024,37(13):126-129.[doi:10.3969/j.issn.1006-1959.2024.13.026]
　Value of Heart-shaped Cosmetic Suture and Modified Skin Suture on Reducing Abdominal Scar Formation During Cesarean Section.Value of Heart-shaped Cosmetic Suture and Modified Skin Suture on Reducing Abdominal Scar Formation During Cesarean Section[J].Journal of Medical Information,2024,37(13):126-129.[doi:10.3969/j.issn.1006-1959.2024.13.026]
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心形美容缝合及皮肤改良缝合对剖宫产减少腹部瘢痕形成的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
126-129
栏目:
论著
出版日期:
2024-07-01

文章信息/Info

Title:
Value of Heart-shaped Cosmetic Suture and Modified Skin Suture on Reducing Abdominal Scar Formation During Cesarean Section
文章编号:
1006-1959（2024）13-0126-04
作者:
王冬梅; 朱小蓉
（遂川县人民医院妇产科，江西 遂川 343900）
Author(s):
Value of Heart-shaped Cosmetic Suture and Modified Skin Suture on Reducing Abdominal Scar Formation During Cesarean Section
(Department of Obstetrics and Gynecology,People’s Hospital of Suichuan County,Suichuan 343900,Jiangxi,China)
关键词:
心形美容缝合; 皮肤改良缝合; 剖宫产; 腹部瘢痕
Keywords:
Heart-shaped cosmetic suture; Modified skin suture; Cesarean section; Abdominal scar
分类号:
R622
DOI:
10.3969/j.issn.1006-1959.2024.13.026
文献标志码:
A
摘要:
目的 分析心形美容缝合及皮肤改良缝合对剖宫产减少腹部瘢痕形成的价值。方法 选取2021年1月-2023年1月在我院行剖宫产的60例产妇为研究对象，采用随机数字表法分为对照组和观察组，各组30例。对照组采用传统间断缝合，观察组采用心形美容缝合及皮肤改良缝合，比较两组瘢痕增生发生率、切口缝合时间、切口愈合时间、疼痛（VAS）评分、温哥华瘢痕（VSS）评分、瘢痕愈合程度、术后并发症发生率。结果 观察组瘢痕增生发生率为3.33%，低于对照组的20.00%（P＜0.05）；观察组切口缝合时间、切口愈合时间均短于对照组（P＜0.05）；术后1天，两组VAS评分比较，差异无统计学意义（P＞0.05）；观察组术后3、7天疼痛评分均低于对照组，术后2个月VSS各维度（皮肤色泽、血管分布、厚度、柔软度）评分均低于对照组（P＜0.05）；观察组瘢痕愈合甲级占比高于对照组，乙级、丙级占比均低于对照组（P＜0.05）；观察组并发症发生率为6.67%，低于对照组的16.67%（P＜0.05）。结论 心形美容缝合及皮肤改良缝合对剖宫产减少腹部瘢痕形成，缩短切口缝合和愈合时间，减轻术后疼痛评分，提高VSS评分，改善瘢痕愈合程度，降低术后并发症发生率，具体较理想的应用价值。
Abstract:
Objective To explore the value of heart-shaped cosmetic suture and modified skin suture on reducing abdominal scar formation in cesarean section.Methods Sixty parturients who underwent cesarean section in our hospital from January 2021 to January 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 parturients in each group. The control group was treated with traditional interrupted suture, and the observation group was treated with heart-shaped cosmetic suture and modified skin suture. The incidence of scar hyperplasia, incision suture time, incision healing time, pain (VAS) score, Vancouver scar score (VSS), scar healing degree and postoperative complication rate were compared between the two groups. Results The incidence of scar hyperplasia in the observation group was 3.33%, which was lower than 20.00% in the control group (P<0.05). The incision suture time and incision healing time in the observation group were shorter than those in the control group (P<0.05). At 1 day after operation, there was no significant difference in VAS score between the two groups (P>0.05). The pain score of the observation group at 3 and 7 days after operation were lower than that of the control group, and the scores of VSS dimensions (skin color, vascular distribution, thickness, softness) at 2 months after operation were lower than those of the control group (P<0.05). The proportion of scar healing grade A in the observation group was higher than that in the control group, and the proportion of grade B and grade C was lower than that in the control group (P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than 16.67% in the control group (P<0.05).Conclusion Heart-shaped cosmetic suture and modified skin suture can reduce abdominal scar formation, shorten incision suture and healing time, reduce postoperative pain score, improve VSS score, improve scar healing degree, and reduce the incidence of postoperative complications in cesarean section, which has ideal application value.

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更新日期/Last Update: 1900-01-01