摘要
目的探讨微清创定位缝合治疗产后会阴伤口愈合不良的临床效果。方法选取2021年6月至2024年10月合肥医科大学附属医院收治的经阴道分娩后会阴伤口愈合不良(皮肤及肌肉深层裂开,累及肌层深度≥1cm)的106例产妇为研究对象。2021年6月至2022年12月53例产妇为对照组,采用传统期待疗法1∶5000高锰酸钾溶液浅坐浴治疗;2023年1月至2024年10月53例产妇为实验组,采用微清创定位缝合治疗。通过随访评价产妇的会阴伤口愈合时间、干预后7d伤口疼痛程度、干预后1个月伤口愈合情况及治愈率。结果实验组产妇的会阴伤口愈合时间明显短于对照组;产妇干预后7d会阴伤口疼痛程度较对照组轻;干预后1个月伤口愈合情况优于对照组;治愈率高于对照组,差异均有统计学意义(P<0.05)。结论采用微清创定位缝合治疗产后会阴伤口愈合不良可缩短会阴伤口愈合时间,减轻疼痛程度,伤口愈合情况良好,治愈率佳。
Objective To investigate the clinical effect of micro-debridement and positioning suture in the treatment of poor perineal wound healing after delivery.Methods 106 pregnant women who were eligible for poor healing of perineal wounds(deep skin and muscle defragmentation,involving muscle layer depth≥1cm)after vaginal delivery in Affiliated Hospital of Zunyi Medical University were selected as the research objects from June 2021 to October 2024.From June 2021 to December 2022,53 cases in control group were treated with traditional anticipation therapy 1:5000 potassium permanganate solution shallow sitz bath,and from January 2023 to October 2024,53 cases in experimental group were treated with micro-debridement positioning suture.After the operation,follow-up was established with the pregnant women to evaluate the healing cycle of perineal wound,the degree of wound pain 7 days after the operation,the wound healing situation and the cure rate 1 month after the operation.Results The healing period of perineal wound in experimental group was shorter than that in control group;The degree of wound pain in experimental group was lower than that in control group 7 days after operation;The wound healing of one month after operation in experimental group was higher than that in control group;The effective rate of experimental group was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion The use of micro-debridement and positioning suture in the treatment of poor perineal wound can shorten the healing period of perineal wound,reduce the degree of wound pain,the wound healing is good,and the treatment efficiency is good.
作者
母永芳
胡丹
赵茂晶
陈扬琴
张燕艳
MU Yongfang;HU Dan;ZHAO Maojing;CHEN Yangqin;ZHANG Yanyan(Department of Obstetrics,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou,China)
出处
《中国现代医生》
2025年第18期14-17,共4页
China Modern Doctor
基金
贵州省科技计划项目(黔科合成果-LC[2024]049)。
关键词
微清创
会阴
缝合
会阴伤口
愈合不良
Micro-debridement
Perineum
Suture
Perineal wound
Poor healing
