控制线结对降低切口缝线排异反应的初步观察

Preliminary Observation of Knot-Controlling to the Lower Incision Suture Rejection

摘要: 目的：探讨降低切口缝线排异反应的有效方法。方法：2012年6月至2013年12月间麦氏切口阑尾切除术140例，随机等分为新式缝合组和对照两组，新式缝合组采用控制线结措施，术后随访6个月，观察两组间线结排异反应发生情况。结果：两组在手术时间、住院时间等指标上无统计学差异，新式缝合组无残留线结，差异有统计学意义(P < 0.05)，未发生线结排异反应，对照组发生4例，差异有统计学意义(P < 0.05)。结论：控制线结是降低切口线结排异反应发生简单、有效的方法。

Abstract: Objective: To explore the effective way for reducing incision suture rejection. Methods: 140 patients with acute appendicitis who had underwent appendicectomy from June 2012 to December 2013, had evenly divided into two groups, the new suture group and the control group; the former was operated by knot-controlling. The number of incision suture rejection was contrasted and observed within six months after the operation. Results: There were no statistical differences in operation time and hospital stay between the two groups. In the new suture group, no residual suture knot was founded, and the difference was statistically significant (P < 0.05), without suture rejection. But in the control group, 4 cases occurred suture rejection, and the difference was statistically significant (P < 0.05). Conclusion: knot-controlling could simply and directly reduce incision suture rejection.