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目的改进肥胖患者腹壁纵切口的缝合技术。方法以腹壁皮下脂肪厚度>2.0cm作为肥胖的标准,将200例肥胖患者随机分为观察组100例和对照组100例。观察组腹壁纵切口皮肤、皮下脂肪间断全层缝合。对照组用传统的皮肤、皮下脂肪分层缝合法。将两组进行比较,观察其切口缝合时间、甲级愈合及术后病率。结果观察组切口缝合时间明显缩短(P<0.01)。切口甲级愈合明显提高(P<0.01)。术后病率明显降低(P<0.01)。结论肥胖患者腹壁纵切口皮肤、皮下脂肪间断全层缝合明显优于传统的缝合方法。此方法操作方便、节省时间,值得推广。
Objective To improve the suture technique of abdominal longitudinal incision in obese patients. Methods 200 cases of obese patients were randomly divided into observation group (n = 100) and control group (n = 100) with abdominal subcutaneous fat thickness> 2.0cm as the standard of obesity. Observation group abdominal incision longitudinal skin, subcutaneous fat interrupted suture. Control group with the traditional skin, subcutaneous fat stitching method. The two groups were compared to observe the incision suture time, grade A healing and postoperative morbidity. Results The observation group incision suture time was significantly shorter (P <0.01). Incision grade healed significantly increased (P <0.01). Postoperative morbidity was significantly lower (P <0.01). Conclusion Obesity in patients with abdominal wall longitudinal incision skin, subcutaneous fat full-thickness suture is better than the traditional suture method. This method easy to operate, save time, it is worth promoting.