摘要
目的探讨妇科手术中腹部切口愈合不良的原因及防治对策。方法回顾性分析妇科手术后腹部切口愈合不良58例临床资料，探讨其常见的临床原因。结果脂肪液化28例（48．3％），贫血和（或）低蛋白血症13例（22．4％），合并糖尿病3例（5．2％），高血压6例（10．3％），感染2例（3．5％），切口血肿1例（1．7％）；同时存在2项高危因素者22例（37．9％），3项或3项以上者11例（19．0％）；术后切口渗液26例（44．8％），红肿、硬结28例（48．3％），低热5例（8．6％）。结论肥胖脂肪液化是妇科手术切口愈合不良的常见原因；术后切口渗液、红肿硬结往往预示切口愈合不良；对于有高危因素和愈合不良先兆的患者应积极预防和处理。
Objective To explore the high-risk factors of the abdominal wound undesirable healing in gynecologic operations and its prevention and treatment. Methods A retrospective clinical study reviewed 58 cases in gynecologic operations. To investigate and analyze its frequent clinical risk factors. Results The risk factors in these wound healing defect such as the fat liquefied： 3 cases（48.3% ）,the anaemia and/or hypoproteinemis,. 13 cases （22.4 % ） ; combined with diabetes： 3 cases （ 5. 2 % ）, hypertension： 6 cases （ 10.3 % ）, wound infection： 2 cases （3.5 % ） and wound hematoma： 1 case （ 1.7 % ） ; two high risk factors coexisted ： 22 cases （ 37.9 % ）, three or more risk factors coexisted： 11 cases（ 19.0 % ）. The complication of such wound healing defect such as effusion： 26 cases （44.8%） ,flare and induration：28 cases（48.3%）,low-grade fever：5 cases（8.6%）.Conclusion The fat liquefaction is the important reason of the wound dehiscence in gynecology operations; the effusion, flare or induration is the precipitation of the wound healing defect. If we can treat these high-risk groups positively, we will improve the clinical prognosis.
出处
《中国基层医药》
CAS
2008年第2期226-227,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
腹部切口
伤口愈合
高危因素
Abdominal wound
Wound heal-up
Hihg-risk factors
