单术者心脏起搏器植入不同缝合方法的临床研究.pdf

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1、’’IZ堕迟迨生箜z鲞箜塑望!!z：!：!：曼!!竺·89·单术者心脏起搏器植入不同缝合方法的临床研究齐书英，李洁，丁超，李斌，吴变稳，王刚，王艳炜，王冬梅[摘要]目的对比单术者心脏永久起搏器植入术切口采用不同缝合方法的差异。方法2011年1月一2O13年10月行单术者心脏永久起搏器植入术380例，随机分为连续缝合组和间断缝合组，每组各190例，观察并比较术中两种方法切口缝合时间、术后住院时间、囊袋血肿和感染发生率及切口愈合情况。结果连续缝合组手术切口缝合时间明显短于间断缝合组，差异有统计学意义(P<0．O1)。术后2周两组囊袋血肿发生率及术后住院时间比较差异均无统计学意义(P

2、>0．05)，且两组均无囊袋感染病例。术后3个月内连续缝合组未见皮肤线头外露，间断缝合组皮肤线头外露6例(3．16％)，组间比较差异有统计学意义(P<0．05)；两组手术切口均愈合良好。结论单术者起搏器植入术切口应用连续缝合法具有缝合时间短、无线头外露的优势，可作为单术者起搏器植入的常规缝合方法。[关键词】心脏病；心脏起搏器，人工；皮肤；缝合；疗效比较研究[中国图书资料分类号]R541[文献标志码]A[文章编号]1002—3429(2014)09．0089．03[DOI]10．3969(j．issn．1002—3429．2014．09．033ComparisonofDifere

3、ntSutureProceduresforClosureofSkinIncisioninCardiacPacemakerImplantationbyOneOperatorQIShu—ying，LIJie，DINGChao，LIBin，wuBian—wen，WANGGang，WANGYan-wei，WANGDong—mei(DepartmentofCardiology，BethuneInternationalPeaceHospitalofPLA，Shijiazhuang050082，China)[Abstract]0bjectiveTocomparedifferentsuture

4、proceduresfortheclosureoftheskinincisioninperformingcardi-acpacemakerimplantationbyoneoperator．MethodsDuringtheperiodfromJanua~2011toOctober2013，atotalof380patientswereadmittedtoourhospitaltoreceivepermanentcardiacpacemakerimplantationandonlyoneoperatorperformedtheoperation．Thepatientswerera

5、ndomlydividedintotwogroups(continuoussuturegroupandinterruptedsuturegroup)，eachgroupincluded190patients．Thesuturetime，postoperativehospitalizationdays，incidenceofpockethematomaandinfection，aswellasthehealingconditionoftheincisionwererecordedandcomparedbetweenthetwogroups．ResultsThesuturetime

6、ofcontinuoussuturegroupwasmarkedlyshorterthanthatofinterruptedsuturegroup(P<0．01)．Theincidenceofpockethe—matomaincontinuoussuturegroupwassimilartothatininterruptedsuturegroup，andthedifferencewasnotsignificant(P>0．05)，andnosignificantdifferenceinthepostoperativehospitalizationdaysexistedbetwe

7、enthetwogroups(P>0．05)．Nopocketinfectionoccurredinthetwogroups．Duringthreemonthsaftertheoperation，suturelineleakagewasfoundinsixpa—tients(3．16％)ininterruptedsuturegroupwhilenopatientincontinuoussuturegroup(P<0．05)．TheskinincisionwaswellhealedinaUpa