两种方法处理不愈合切口的疗效观察

Clinical healing of ununited operative wounds by two approaches

关键词:  二次缝合  伤口裂开  清创

Key words:  delayed suture  surgical wound dehiscence  debridement

摘要:

［目的］比较两种不同方法处理手术后不愈合切口的疗效，探讨切口裂开的最佳处理方法。［方法］选择手术后切口不愈合病例30例，分成A、B两组，采用两种方法处理手术切口，A组积极清创二次缝合；B组清理创面、局部换药、自然愈合，比较两种方法的愈合时间。［结果］A组切口的愈合时间 （11.23±1.58）d，明显较B组（22.55±3.64）d缩短，两组比较差异有显著性意义，P<0.05。［结论］及时清创二次缝合，可以明显促进术后不愈合切口的愈合。

Abstract:

［Objective］To conclude the best method of curing the dehiscent surgical wound by comparing the clinical healing with two different approaches.［Methods］Materials of 30 dehiscent surgical wounds which had been treated by two different approaches in our department were retrospectively analyzed.Approach A:wounds were delayed sutured after debridement. Approach B: wounds were treated with debridement and local dressing. Healing effects by these two approaches were compared.［Results］The healing time of dehiscent surgical wounds treated with the approach A (11.23±1.58) days was significantly shorter than that treated with approach B (22.55±3.64) days, P<0.05.［Conclusion］The delayed suture after debridement promptly can promote dehiscent surgical wounds to heal.