【摘要】 目的研究抽线缝合法在急性化脓性(包括坏疽及穿孔)阑尾手术切口感染及住院时间的临床意义。方法选取我院2005～2010年化脓性(包括坏疽及穿孔)阑尾炎患者214例,根据入院顺序单双号随机采用抽线缝合法109例,逐层缝合法105例。结果抽线缝合法与逐层缝合法相比切口感染率降低(P<0.05),住院时间明显缩短(P<0.005),差异均有统计学意义。结论抽线缝合法易学易会,基层单位可开展,预防阑尾切口感染有效,不增加甚至减少患者痛苦,减轻患者经济负担,有很高的临床应用价值。更多还原

【Abstract】 Objective To study the methods of pulling-thread suture in acute suppurative appendicitis(including gangrene and perforation)cut infection and the clinical significance of the length of hospital stay.Methods 214 cases of suppurative appendicitis(including gangrene and perforation)from Kuitun Hospital during 2005-2010 were selected,and were given pulling suture(109 cases)and layered suture(105 cases)randomly according to the admission order of odd and even numbers.Results The incision infection rate of pulling suture was lower than the layered suture(P<0.05)and length of hospital stay was obviously reduced(P<0.005),with statistically significant difference.Conclusion The methods of pulling suture is easy to learn,effective to prevent the incision infection of appendicitis reduce patient′s pain,and easily to carry out in grassroots units,which reduces the economic burden of patients and has a high clinical application value.更多还原