足月妊娠阴道分娩阴道裂伤的原因及改良埋线法修复治疗效果分析(1)
[摘要]目的：探讨足月妊娠阴道分娩阴道裂伤的原因及改良埋线法修复治疗的效果。方法：回顾性分析2013年1月-2017年7月在笔者医院分娩的2 200例产妇的诊疗情况。统计2 200例产妇按照年龄、产次、是否手术助产、新生儿体重等的分组标准下的阴道裂伤的发生情况。2 200例产妇中有240例发生阴道裂伤，按照术后缝合方式的不同，将其分为2组，每组120例。对照组采用常规缝合手术治疗，观察组应用改良埋线法进行缝合。比較两组阴道裂伤患者缝合后的疼痛程度、阴道裂伤愈合情况和美容效果满意度。结果：高年龄组阴道裂伤发生率明显高于低年龄组，初产妇组阴道裂伤发生率明显高于经产妇组，巨大儿组的阴道裂伤发生率显著高于非巨大儿组，差异均有统计学意义(P<0.05)；顺产组与助产组的阴道裂伤发生率相比，差异不具有统计学意义(P>0.05)。观察组缝合后的0级和Ⅰ级疼痛程度的患者所占比例、甲级愈合率及美容效果的满意率均明显高于对照组，差异有统计学意义(P<0.05)。结论：足月妊娠阴道分娩阴道裂伤的原因包括产妇年龄较高、初次分娩、新生儿体重较大等，改良埋线法应用于缝合手术，伤口愈合率高，美容效果好，可减少产妇疼痛，值得广泛应用。
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[关键词]足月妊娠；阴道分娩；阴道裂伤；缝合；美容；初产妇；巨大儿
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0103-03
Abstract： Objective To investigate the causes of vaginal laceration in vaginal delivery during term pregnancy and the effect of modified catgut embedding therapy. Methods The medical records of 2 200 parturients delivered in our hospital from January 2013 to July 2017 were studied. The incidence of 2 200 cases of vaginal laceration under the standard of age， production times， surgical midwifery， and newborn weight were analyzed. Of the 2 200 cases， 240 cases had vaginal laceration. According to the different ways of suture， they were divided into two groups， 120 cases in each group. The control group was treated with conventional suture operation， while the observation group was treated with modified catgut embedding. The degree of pain， the satisfaction of beauty effect and healing of vaginal laceration in two groups of vaginal laceration patients were compared. Results The incidence of vaginal laceration in the high age group was significantly higher than that in the low age group. The incidence of vaginal laceration in primipara group was significantly higher than that in the parturient group， the incidence of vaginal laceration in macrosomia group was significantly higher than that in non macrosomia group (P<0.05)， the differences were statistically significant(P<0.05). There was no significant difference in the incidence of vaginal laceration between the delivery group and the midwifery group(P>0.05). The percentages of patients with grade 0 and grade I pain after suture， the healing rate of grade A and the satisfaction rate of cosmetic effect in the observation group were significantly higher than those in the control group(P<0.05). Conclusion The reasons for vaginal laceration of vaginal delivery in full term pregnancy include the higher age of the parturient and the larger weight of the newborn. The improved embedding method is used in suture， the healing rate of the wound is high， the beauty effect is good， and the pain of the parturient can be reduced., http://www.100md.com(王娟 周艳 赵井苓)
, http://www.100md.com
[关键词]足月妊娠；阴道分娩；阴道裂伤；缝合；美容；初产妇；巨大儿
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0103-03
Abstract： Objective To investigate the causes of vaginal laceration in vaginal delivery during term pregnancy and the effect of modified catgut embedding therapy. Methods The medical records of 2 200 parturients delivered in our hospital from January 2013 to July 2017 were studied. The incidence of 2 200 cases of vaginal laceration under the standard of age， production times， surgical midwifery， and newborn weight were analyzed. Of the 2 200 cases， 240 cases had vaginal laceration. According to the different ways of suture， they were divided into two groups， 120 cases in each group. The control group was treated with conventional suture operation， while the observation group was treated with modified catgut embedding. The degree of pain， the satisfaction of beauty effect and healing of vaginal laceration in two groups of vaginal laceration patients were compared. Results The incidence of vaginal laceration in the high age group was significantly higher than that in the low age group. The incidence of vaginal laceration in primipara group was significantly higher than that in the parturient group， the incidence of vaginal laceration in macrosomia group was significantly higher than that in non macrosomia group (P<0.05)， the differences were statistically significant(P<0.05). There was no significant difference in the incidence of vaginal laceration between the delivery group and the midwifery group(P>0.05). The percentages of patients with grade 0 and grade I pain after suture， the healing rate of grade A and the satisfaction rate of cosmetic effect in the observation group were significantly higher than those in the control group(P<0.05). Conclusion The reasons for vaginal laceration of vaginal delivery in full term pregnancy include the higher age of the parturient and the larger weight of the newborn. The improved embedding method is used in suture， the healing rate of the wound is high， the beauty effect is good， and the pain of the parturient can be reduced., http://www.100md.com(王娟 周艳 赵井苓)
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