论文部分内容阅读
我们对会阴切开术作了一些改进,采用了简便的“8”字缝合法及术后加用红外线局部照射。经63例的临床观察与分层缝合法对比有较多优点。介绍如下: 一、缝合方法:阴道粘膜仍采用肠线间断或连续缝合,而肌层、皮下、皮肤则用5号角针、7号丝线“8”字法一次缝合。具体操作:从伤口一侧的皮肤进针(距伤口约1公分),至伤口一侧的皮下与肌肉交界处出针(图一),再从进针侧的皮下与肌肉交界处进针至对侧的皮肤出针(距伤口约1公分,图二),然后持针器反持缝针,做褥式缝合伤口表皮(图三),打结。伤口下段组织较浅的部位,可直接采用一般褥式缝合。整个切口“8”字缝合1～3针,每针相距约1公分(图四),术后常规外阴护理。
We made some improvements to perineal incision, using a simple “8” suture method and postoperative plus infrared local irradiation. After 63 cases of clinical observation and stratified suture method has many advantages. The introduction is as follows: First, the suture method: the vaginal mucosa is still intermittent or continuous catgut suture, while the muscle, subcutaneous, skin is the 5th horn, 7 silk “8” suture once. Specific operation: from the wound side of the skin into the needle (from the wound about 1 cm) to the wound side of the subcutaneous and muscle junction of the needle (Figure 1), and then from the side of the needle into the subcutaneous and muscle into the needle to Opposite skin out of the needle (about 1 cm away from the wound, Figure 2), and then the needle holder counter stitching, mattress suture wound skin (Figure 3), knotted. The lower part of the wound tissue of the lighter parts, can be directly used in general mattress suture. The incision “8” suture 1 to 3 needles, each needle is about 1 cm apart (Figure IV), postoperative conventional vulva care.