Effect of Incision Injection of Triamcinolone Acetonide on Prevention of Cesarean Scar Hyperplasia
Objective To study the effect of intraoperative injection of triamcinolone acetonide on preventing scar hyperplasia during cesarean section and long-term follow-up.Methods 600 patients who underwent cesarean section in the author's hospital from March 2020 to June 2022 were selected,were divided into observation group(n=300)and control group(n=300)by random number table.During the operation,local low-dose triamcinolone acetonide was injected on both sides of the incision in the observation group,and no injection was performed on both sides of the incision in the control group.The patients were followed up for 6 months,scar shape,degree of pain,scar beauty,suture reaction,occurrence of fat liquefaction,nursing satisfaction and local skin symptoms were recorded.Results At 3 and 6 months after operation,the scar length in the observation group was shorter than that in the control group(P＜0.05),and the scores and total score of vancouver scar scale(VSS)in the observation group were lower than those in the control group(P＜0.05).At 1,3,and 6 months after operation,the pain score of the observation group was lower than that of the control group(P＜0.05).At 6 months after operation,the scores of patient scar assessment scale(PSAS)and observer scar assessment scale(OSAS)in the observation group were lower than those in the control group(P＜0.05).After operation,the incidence of knot reaction,fat liquefaction and the total incidence of local skin symptoms in the observation group were lower than those in the control group(P＜0.05).The total satisfaction rate of puerpera in the observation group was higher than that in the control group(P＜0.05).Conclusion Triamcinolone acetonide injection during cesarean section can effectively improve scar morphology,reduce pain,prevent scar hyperplasia,improve nursing satisfaction,and have mild adverse reactions.It was worthy to be popularized clinically.
万方数据
维普
