妇产科剖腹术后切口愈合不良的原因分析

目的：探讨导致妇产科剖腹术后切口愈合不良的原因,并提出防治措施。方法：回顾性研究17例妇产科剖腹术后出现切口愈合不良的患者资料,归纳切口愈合不良的类型以及分析导致切口愈合不良的各种原因,提出及时发现、充分引流、二期缝合的方案,进而提出有效的预防措施。结果：本组17例患者中,切口感染3例;脂肪液化12例;缝合不当2例。经抗感染、换药及积极处理合并症等措施,切口长出新鲜肉芽组织,再行二期缝合,均于治疗后5-14d愈合出院。结论：肥胖、贫血、高血压病、糖尿病、缝合不当等是造成妇产科剖腹术后切口愈合不良的主要因素。妥善处理好围手术期的各种不良因素,可以减少妇产科剖腹术后切口愈合不良现象的发生。

Analyzing the Causes of Malunited Wound after the Abdominal Incision of Gynaecology and Obstetrics

Objective： To explore the causes of malunited wound after the abdominal incision of gynaecology and obstetrics and introduce the measures of prevention and therapy. Method： Retrospective studying the seventeen patients with malunited wound after the abdominal incision of gynaecology and obstetrics, we had inducted the types of malunited wound and analyzed the causes of malunited wound and drew the program of discover in time, draining thoroughly, secondary suture and proposed the effective precautionary measures. Result： Seventeen patients had been studied in this team, including 3 cases infection of incisional wound; 12 cases fat liquation; 2 cases malsuture. After anti -infection, dressings, active handle complica tion, the incision erupts fresh granulation tissue and could been secondary suture. All the patients had healed and discharged after 5 to 14 days treatment. Conclusion： Fatness, anaemia, hypertensive disease and malsuture are the causes of malunited wound after the abdominal incision of gynaecology. Proper manage all kinds of the dys -factors during the operation can reduces malunited wound after the abdominal incision of gynaecology and obstetrics happen.