关键词: 造口回纳, 十字缝合法, 切口感染

Abstract: Objective To preliminary discuss the application effect of “gunsight” skin flap technique compared with primary linear closure during the skin closure of the stoma reversal. Methods The clinical datas of 57 patients performed stoma reversal in the digestive center of Panyu central hospital during June of 2015 to May of 2018 were retrospectively analysed.Among them,41 patients were performed by “gunsight” closure technique,while 26 patients were performed by primary linear closure method.Finally,the clinical parameters,postoperative complications,healing time,the length of stay,pain score,satisfaction score were recorded and compared. Results The infection rate of the patients in the “gunsight” closure group were significantly lower than that of the primary liner closure group(4.88% vs 26.92%).The wound healing time and post operational hospital stay of the “gunsight” closure group was (9.61±2.82) and (10.29±3.87)days,which was significantly shorter than that of the primary linear closure group((12.65±5.69) and (14.58±9.35))days,The difference between the two groups was statistically significant( P ＜0.05). Conclusion Compared with the conventional suture method,“gunsight” skin flap technique appeared to be of more advantages.The “gunsight” suture method can not only reduce the wound infection rate,but also shorten hospital stays.

Key words: stoma reversal, gunsight suture, wound infection