肠造口关闭术：荷包缝合与线性缝合的比较——儿童病例
COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN.
机构信息
Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences - Ahvaz, Khouzestan, Iran.
Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences - Ahvaz, Khouzestan, Iran.
出版信息
Arq Bras Cir Dig. 2022 Dec 19;35:e1709. doi: 10.1590/0102-672020220002e1709. eCollection 2022.
BACKGROUND
Type of ostomy closure has connection with some complications and also cosmetic effects.
AIMS
This study aimed to compare result of colostomy closure using purse-string method versus linear method in terms of surgical site infection, surgical time, and patient satisfaction.
METHODS
In this study, 50 patients who underwent purse-string ostomy closure and 50 patients who underwent linear closure were included. Two groups were compared for surgical time, wound infection, patient satisfaction, scar length. A p-value <0.05 was considered significant.
RESULTS
Wound infection was not reported among purse-string group compared to 10% in linear group (p=0.022). Scar length was 24.09±0.1 mm in purse string and 52.15±1.0 mm in linear group (p=0.033). Duration of hospital admission was significantly shorter in purse-string group (6.4±1.1 days) compared to linear (15.5±4.6 days, p=0.0001). The Patient and Observer Scar Assessment Scale scale for observer (p=0.038) and parents (p=0.045) was more favorable among purse-string group compared to linear.
CONCLUSION
Purse-string technique has the less frequent surgical site infection, shorter duration of hospital admission, less scar length, and more favorable cosmetic outcome, compared to linear technique.
背景
造口关闭的类型与一些并发症和美容效果有关。
目的
本研究旨在比较荷包缝合与直线缝合两种方法在手术部位感染、手术时间和患者满意度方面的结果。
方法
本研究纳入了 50 例接受荷包缝合关闭造口和 50 例接受直线闭合的患者。比较两组的手术时间、伤口感染、患者满意度、疤痕长度。p 值<0.05 被认为具有统计学意义。
结果
荷包缝合组无伤口感染报告，而直线组为 10%（p=0.022）。荷包缝合组的疤痕长度为 24.09±0.1mm，直线组为 52.15±1.0mm（p=0.033）。荷包缝合组的住院时间明显短于直线组（6.4±1.1 天）与直线组（15.5±4.6 天，p=0.0001）。荷包缝合组的观察者（p=0.038）和家长（p=0.045）的患者和观察者疤痕评估量表评分更优。
结论
与直线技术相比，荷包缝合技术具有较低的手术部位感染发生率、较短的住院时间、较短的疤痕长度和更好的美容效果。
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