会阴切开连续缝合与间断缝合的比较研究

A. Garg, N. Garg, M. Agrawal, N. Garg
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摘要

近年来,会阴切开术常规修复的作用一直受到人们的关注。这种方法现在已经从早期的间断缝合改进为会阴切开的连续缝合。目的和目的:本研究旨在评估会阴切开术常规修复与持续修复患者的舒适度和术后并发症。方法:本前瞻性研究于2018年7月至2019年6月在哈普尔拉玛医学院妇产科进行,200例患者随机分为两组,每组100例。A组(研究组)采用会阴切口连续缝合修复术,B组采用常规间断缝合修复术。根据术后疼痛和其他并发症的结果分析两种方法的疗效。结果:外阴切开术患者以18 ~ 26岁年龄组居多。研究组和对照组的平均妊娠期分别为38.4+0.6和38.4+0.5。研究组的平均缝合时间也明显缩短。48小时后疼痛评分明显降低。研究组恢复性活动的时间明显较短。结论:连续修复组手术时间短,缝线材料少,产后疼痛少,恢复性生活早,成功率明显高于连续修复组
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparative Study of Continuous Versus Interrupted Suturing of Episiotomy
The role of convention repair of episiotomy has come under scrutiny in recent years.This procedure has nowbeen modified from interrupted suturing earlier to continuous stitching of episiotomy.Aim &objectives :-This study was done to evaluate the patient comfort & post-op complications betweenconventional repair & continuous repair of episiotomy .Methodology:-This prospective study was conducted in the department of Gyne & obstr of Rama medicalcollege, Hapur from July 2018 to June 2019 on 200 patients who were randomly divided into two groupsof 100 patients each . In Group A (study group), episiotomy repair was performed by continuous stitching &group B underwent conventional interrupted suturing repair. Post operatively the efficacy of both proceduresanalysed on the basis of outcome in form of pain & other complications.Result :- Majority of patients of episiotomy were in age group of 18 to 26 years. Mean gestational periodwas 38.4+0.6 & 38.4+0.5 for the study & control group. The mean suturing time was also significantlyshorter for study group.Pain score was significantly less after 48 hrs. Resumption of sexual activity wassignificantly shorter in study group.Conclusion :- The success rate was significantly better in continuous repair group in the form of lessprocedure time, suture material , postpartum pain & early resumption of sexual activity
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