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1、无针缝合器闭合感染切口的临床疗效初探许瑞华丁岚利2,曾翠芳1,刘红打张永琼江婷*,李坟'，冯媛*,韩蔷戴燕2周勇李富宇'1、四川大学华西傑院胆道外科、中徳伤口治疗中心；2、四川大学华西医院伤口治疗中心【摘要】目的：探讨和对比无针缝合器与传统的二期针线缝合和蝶形胶布对感染切口的闭合疗效。方法：50例肝胆术后切口感染患者，待感染切口引流物明显减少、创面有健康肉芽生长时，应用立辰无针缝合器逐步闭合切口。另81例肝胆术后切口感染患者分別釆用蝶形胶布拉拢或二期传统针线缝合，对比三组切口自换药开始至切口拆线的愈合时间。结果：无针缝合治疗组的愈合时间(2
2、3±6.5天)明显短于蝶形胶布拉拢组(31±10,4天)和二期传统针线缝合组(34±14.1天)组(PV0.05)。蝶形胶布拉拢组感染切口愈合时间略短于二期传统针线缝合组，但两组差界无统计学意义(P>0.05)o结论：采用无针缝合器治疗感染切口可在引流换药的同时，逐步闭合切口，促进其早期愈合。【主题词】感染伤口；无针缝合器；免缝，二期缝合；引流；PreliminaryClinicalEffectivenessofTreatingIncisionInfectionusingIncisionSutureCloserwithoutNeedleXURui
3、-hua1,DingFeng-li2,ZHENGCui-fang,LIUHong1,ZHANGYong-qiong1,JIANGTing1,LIWen1,FENGYuan1,HANQiang1,DAIYan2,ZHOUYong1,LIFu-yu1,1.DepartmentofBiliarySurgery,WoundTreatmentCenterofChinaandGerman,WestChinaHospital;2.WoundTreatmentCenterofWestChinaHospital,Chengdu610041,SichuanProvi
4、nceCorrespondingAuthor：LIFu-yu,E-mail：lfy_74@vip.163.com[Abstract]Objective:ToinvestigateandcomparethecloseeffectivenessofincisioninfectionusingIncisionSutureCloserwithoutneedlewithtraditionalsecondarysutureandwingtape・Methods:Fiftyinfectionwoundassociatedwithhepatobiliarysur
5、geryweregraduallyclosedwithLiChenIncisionSutureCloserwithoutNeedle,whendrainfromincisioninfectionwasobviouslydecreasedandhealthygranulationappeared・Anothereighty-oneinfectionincisionsafterhepatobiliarysurgerywererespectivelyclosedwithsecondarysutureandwingtape.Healtimeofincis
6、ioninfectioninabovethreegroupswerecalculatedfrombeginningofdressingchangetotakeoutstitches・Results:HealingtimeinIncisionSutureCloserwithoutneedlegroup(23±6・5day)wereobviouslyshorterthanthoseinwingtapegroup(31±10.4day)andtraditionalsecondarysuturegroup(34+14.1day)(P<0.05)・Heal
7、ingtimeinwingtapegroupappearedtobeslightlyshorterthaninsecondarysuturegroup,butthisdifferencewasnotsignificant(P>0.05).Conclusion:IncisionSutureCloserwithoutneedlecouldgraduallyclosedtheinfectionwoundatsametimeofdrainageanddressingchange,andtherebycouldshortenthehealtime.[Key
8、Word]IncisionInfection,IncisionSutureCloserwithoutneedle,Secondarysu
