腘绳肌取腱部位切口不同缝合方法比较

Comparison of different incision closure methods for hamstring tendon harvesting sites

  • 摘要: 目的 比较研究腘绳肌取腱部位切口不同缝合方法的临床效果。方法 136例患者随机分为"U"形皮下间断缝合组、普通间断缝合组及皮内缝合组,分别于手术结束时采用相应方法缝合腘绳肌取腱部位切口。以伤口甲级愈合率、住院时间和患者满意率为疗效评价指标。结果 术后患者获得随访,时间3~36月,平均11.5月。皮下间断缝合组、普通间断缝合组及皮内缝合组的伤口甲级愈合率分别为100%、93.2%、97.7%,各组住院时间分别为8.4d、13.8d、12.5d,患者对切口愈合的满意率分别为100%、77.3%、88.6%。结论 "U"形皮下间断缝合法处理鹅足取腱部位伤口操作简便,可缩短住院时间,伤口并发症少,患者易于接受,适合推广。

     

    Abstract: Objective To compare the different incision closure methods for hamstring tendon harvesting sites. Methods 136 patients were randomly divided into three groups.Their wounds on hamstring tendon harvesting sites were closed by" U" subcutaneously interrupted suture,normal interrupted suture,and intradermal suture,respectively.The first wound healing rate,time of hospital stay,and satisfactory rate were used as evaluation measures. Results The patients were followed up for 3-36 months,averaging 11.5 months.The first wound healing rate for" U" subcutaneously interrupted suture,normal interrupted suture,and intradermal suture was 100%,93.2% and 97.7%,respectively.The hospital stay time of patients in the three groups was 8.4,13.8 and 12.5 days,respectively.The satisfactory rate of patients undergoing three different wound closure procedures was 100%,77.3% and 88.6%,respectively. Conclusion " U" subcutaneously interrupted suture for wound closure of hamstring tendon harvesting sites is easy to manipulate,reduces the time of hospital stay,and has less complications.

     

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