剖宫产子宫肌层单层锁边缝合术

目的：评价剖宫产子宫下段横切口缝合技术及子宫肌层单层锁边缝合的可行性。方法：选取我院2008年12月至2010年12月剖宫产病例1920例,940例采用连续加褥式包埋缝合子宫,为对照组;980例采用子宫肌层单层锁边缝合术,为试验组。结果：试验组总手术时间为（28.08±4.15）min,对照组总手术时间为（36.25±5.67）min,两组比较,差异有统计学意义（p〈0.01）;试验组术后排气时间为（16.10±8.29）h,对照组术后排气时间为（24.26±4.28）h,差异有统计学意义（p〈0.05）;试验组术中出血量为（210±60）ml,显著低于对照组（280±50）ml,差异有统计学意义（p〈0.01）;试验组拆线时切口感染率为0.2%,对照组拆线时切口感染率为1%,差异有统计学意义（p〈0.05）。而切皮至胎儿娩出时间、新生儿Apgar评分、人均输血量、术后体温一次〉38℃、术后三天体温〈37℃五项指标比较,两组差异无统计学意义（p〉0.05）。结论：子宫肌层单层锁边缝合优于连续加褥式包埋缝合术,进一步提高了产科手术操作技术水平,值得临床推广应用。

Myometrial Monolayer Locking Stitch Suture Catcher in Cesarean Section

Objective：To evaluate the technique of lower uterine segment transverse incision in cesarean section and the feasibility of monolayer locking stitch catcher suture of the myometrium.Methods：1920 cesarean section cases were chose from September 2008 to December 2010 in Our hospital,of which 940 cases were treated with continuous embedding additional mattress suturation,as the con-trol group;and 980 cases of uterine muscle were treated by monolayer locking stitch suture catcher,as the test group.Results：the total operation time of the test group was（28.08 ± 4.15） min,while that of the control group was（36.25 ± 5.67） min,the difference between the two groups was statistically significant（p 〈0.01）;The exhaust time after oppration of the test group was（16.10 ± 8.29） h,while that of the control group was（24.26 ± 4.28） h,and the difference was statistically significant（p 〈0.05）;Blood loss of the test group was（210 ± 60） ml,which was significantly lower than that of the control group（280 ± 50） ml,the difference was statistically significant（p〈 0.01）;The incision infection rate in the test group was 0.2%,while that of the control group was 1%,the difference was statistically signifi-cant（p 〈0.05）;There was no significant difference between the two groups compared these five indicators（p 〉0.05：time from Skin inci-sion to the the baby delivered,apgar score of newborn,the per capita amount of blood transfusion,postoperative body temperature time 38 ℃,after three days of body temperature〈 37℃.Conclusions：myometrial locking stitch suture catcher is better than single mattress plus embedded continuous suture,and it can further improve the level of obstetric surgical technique,.It＇s worthy of clinical application.