通讯作者: 母永芳, 2152832856@qq.com

DOI：10.12201/bmr.202503.00069

Clinical effect of micro debridement positioning suture in treatment of poor perineal wound healing after delivery

• 摘要：目的 探讨微清创定位缝合治疗产后会阴伤口愈合不良产妇的临床应用效果。方法 选取2021年6月-2024年10月在贵州省遵义市某三级甲等医院符合经阴道分娩后会阴伤口愈合不良(皮肤及肌肉深层裂开,累及肌层深度≥1cm)106例产妇为研究对象,2021年7月-2022年12月的53例采用传统期待疗法1:5000高锰酸钾溶液坐浴治疗,2023年1月-2024年10月的53例采用微清创后定位缝合进行治疗。术后和产妇建立一对一微信或电话随访,评价会阴伤口愈合周期、术后7 d 伤口疼痛程度、术后1个月伤口愈合情况及治愈率。结果 观察组会阴伤口愈合周期短于对照组(P <0.00)。观察组术后7 d 伤口疼痛程度低于对照组(P <0.00)。观察组术后1个月伤口愈合情况优于对照组(P <0.00)。观察组治愈率高于对照组(P <0.00)。结论 采用微清创定位缝合治疗产后会阴伤口愈合不良产妇,可缩短会阴伤口愈合周期,减轻疼痛程度,伤口愈合情况良好,治愈率佳。

  关键词： 微清创；会阴；缝合；会阴伤口；愈合不良; ; ; ; 

   

  Abstract: Objective To explore the clinical effect of micro-debridement and positioning suture in the treatment of puerpera with poor healing of perineal wound.Methods A total of 106 parturiens with poor perineal wound healing (deep skin and muscle dehiscence, muscle layer depth ≥1cm) after vaginal delivery in a grade-III Class A hospital in Zunyi City, Guizhou Province from June 2021 to October 2024 were selected as the research objects. From July 2021 to December 2022, 53 cases were treated with traditional anticipatory therapy 1:5000 potassium permanganate solution sitz bath, and from January 2023 to October 2024, 53 cases were treated with micro-debridement post-location suture.After the operation, a one-to-one wechat or telephone follow-up was established with the parturients to evaluate the healing cycle of perineal wound, the degree of wound pain 7 days after the operation, the wound healing situation and the curative effect 1 month after the operation.Results The healing period of perineal wound in the observation group was shorter than that in the control group (P <0.00). The degree of wound pain in the observation group was lower than that in the control group 7 days after operation (P <0.00). The wound healing of observation group was higher than that of control group one month after operation (P <0.00).The effective rate of the observation group was higher than that of the control group (P <0.00).Conclusions The use of micro-debridement localization suture in the treatment of cases with poor healing of perineal wound can shorten the healing period of perineal wound, reduce the degree of wound pain, the wound healing is good, and the treatment efficiency is good.

  Key words: micro-debridement; The perineum; Suture; Perineal wound; Poor healing

  提交时间：2025-03-24

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• 序号	提交日期	编号	操作
  1	2025-03-06	bmr.202503.00069V1	下载

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