摘要
目的探讨妇产科腹部手术切口脂肪液化的原因及预防措施。方法回顾性分析妇产科接受腹部手术的1580例患者的临床资料,统计切口脂肪液化发生情况、术后住院时间,分析切口脂肪液化的原因。结果1580例患者中,共62例患者在术后出现切口脂肪液化,发生率为3.92%。其中46例患者在术后3~7 d内检查,发现切口处有淡粉色或淡黄色油性液体渗出;16例患者在拆线时发现切口油状渗出液出现;50例患者出现切口愈合不良,12例患者出现假性愈合,挤压切口,可见渗液内存在漂浮状脂肪滴,渗液涂片可见较多脂肪滴。患者体温36.8~38.4℃。血常规检查中性粒细胞计数均正常。脂肪液化患者中肥胖、贫血、合并糖尿病、咳嗽、多次剖宫产、术后切口血肿患者占比分别为90.32%、83.87%、79.03%、80.65%、70.97%、19.35%,均高于无脂肪液化患者的20.29%、11.26%、9.95%、19.96%、24.24%、0.13%,差异均具有统计学意义(P<0.05)。所有患者经过系统治疗后术后住院时间为10~21 d,平均住院时间为(13.75±3.09)d。结论妇产科腹部手术切口脂肪液化与肥胖、贫血、合并糖尿病、咳嗽、多次剖宫产、术后切口血肿等原因有关,在腹部手术前医护人员要重视并进行提前预防,减少脂肪液化的发生,提高手术质量。
Objective To discuss the causes and prevention of fat liquefaction of abdominal incisions in obstetrics and gynecology.Methods The clinical data of 1580 patients who underwent abdominal surgery in obstetrics and gynecology were retrospectively analyzed.The incidence of incisional fat liquefaction and postoperative hospitalization time were counted,and the causes of incision fat liquefaction were analyzed.Results Among the 1580 patients,a total of 62 patients developed postoperative incisional fat liquefaction,with an incidence of 3.92%.Among them,46 patients were examined within 3-7 d after surgery and found light pink or light yellow oily fluid exuding from the incision;16 patients were found to have oily exudate appearing from the incision when the stitches were removed;50 patients had poor healing of the incision and 12 patients had pseudo-healing,and the presence of floating fat droplets within the exudate was visible when the incision was squeezed,and more fat droplets were visible in the exudate smear.The patient’s body temperature was 36.8-38.4℃,and the neutrophil counts in routine blood tests were all normal.The percentages of obese,anemic,complicated with diabetes mellitus,cough,multiple cesarean sections,and postoperative incisional hematoma in patients with fatty liquefaction were 90.32%,83.87%,79.03%,80.65%,70.97%,and 19.35%,respectively,which were higher than 20.29%,11.26%,9.95%,19.96%,24.24%,and 0.13%of patients without fatty liquefaction,and all differences were statistically significant(P<0.05).After systemic treatment,all patients had a postoperative hospitalization time of 10-21 d,with an average of(13.75±3.09)d.Conclusion Fat liquefaction of abdominal incisions in obstetrics and gynecology is associated with multiple factors such as obesity,anemia,complicated with diabetes mellitus,cough,multiple cesarean sections,postoperative incisional hematoma,etc.It is important for medical staff to pay attention to and carry out advance prevention before abdominal surgery to reduce the occurrence of
作者
刘秀梅
LIU Xiu-mei(Dainan People’s Hospital,Xinghua 225721,China)
出处
《中国实用医药》
2021年第32期73-76,共4页
China Practical Medicine
关键词
妇产科
腹部手术
切口脂肪液化
原因
Obstetrics and gynecology
Abdominal surgery
Incisional fat liquefaction
Causes
