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通过缝线材料的选择降低阴道手术后术后发病率(作者译)

[Reduction of the incidence of postoperative morbidity after vaginal operations by the choice of suture material (author's transl)].

作者信息

Litschgi M, Stoll U

出版信息

Geburtshilfe Frauenheilkd. 1978 Mar;38(3):191-4.

PMID:640362
Abstract

Dexon suture material is capable of lowering the postoperative morbidity. Among 142 vaginal operations for prolapse 82 were done with catgut and 60 with Dexon. In the catgut group 24.4% had a temperature of 37.5 or higher for more than one day and 15.0% in the Dexon group. Secondary vaginal bleeding occurred in 15.8% of the catgut patients and in 6.6% of the Dexon patients. The mean hospital stay was 18.8 days after operations with catgut and 14.6 days after operations with Dexon. There were less wound dehiscences than in the group operated with catgut. Dexon has higher tensile strength than catgut. It is absorbed by hydrolysis and causes less tissue reaction. Dexon shows the desirable properties of both an absorable and a nonabsorbable suture material.

摘要

德克松缝线材料能够降低术后发病率。在142例阴道脱垂手术中,82例使用肠线,60例使用德克松。肠线组中,24.4%的患者体温在37.5度或更高持续超过一天,德克松组为15.0%。肠线组患者继发性阴道出血发生率为15.8%,德克松组为6.6%。使用肠线手术后平均住院天数为18.8天,使用德克松手术后为14.6天。伤口裂开情况比使用肠线手术的组少。德克松的抗张强度高于肠线。它通过水解被吸收,引起的组织反应较小。德克松兼具可吸收和不可吸收缝线材料的理想特性。

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