微波治疗妇产科腹部切口脂肪液化85例临床分析

目的探讨妇产科腹部手术切口脂肪液化的有效治疗与预防方法。方法根据切口脂肪液化发现的早晚，局部渗液的多少，采取不同的治疗方法，如局部渗液少则保守治疗，不拆除缝线，反之则拆除缝线，敞开引流。保守治疗48例，其中23例予局部每日挤压，尽量挤净渗液（对照组）；另25例在上述治疗基础上每日辅以微波治疗（微波组）。拆线引流治疗37例，其中18例每日局部换药，去除坏死脂肪组织并予局部蝶形胶布牵拉固定（对照组），余19例是在上述方法基础上每日辅以微波治疗（微波组），比较各组间的临床疗效，切口愈合时间。结果拆线治疗，微波组与对照组切口愈合时间比较有显著性差异（P〈0．01）；保守治疗组，微波可减少患者拆线的概率，缩短切口愈合时间。结论微波治疗可加速切口的愈合，是用于治疗切口脂肪液化的较好方法。

Clinical analysis of the Microwave treatment on fat Liquefaction in incision after abdominal operation in 85 gynecological and obstetric patients

Objective To explore the effective preventive and therapeutic measures of fat liquefaction in incision after abdominal operation in the department of gynecology and obstetrics. Methods According to the degree of fat liquefaction in abdominal incisions such as sooner or later the fat liquefaction found, and more or less the exudate flowing out, different measures should be taken. 85 cases were divided into conservative therapy group with 48 - pa-tient and stitch removal and draining group with 37 - patient. Conservative therapy were treated and stitch removal was not necessary to patients with the fat liquefaction found early and little exudate flowing out while stitch removal was necessary and the incision shoule be drained opening widely. 48 patients of conservative therapy group were divided into control group with 23 patients and microwave treatment group with 25 patients. 25 patients in microwave group were taken microwave treatment and drained exudate completely while 23 patients in control group were only taken draining without microwave treatment. Necrosis fat tissue was removed and the incision was fixed with butter-flycoated fabric in 18 cases of control group and other 19 cases in microwave group were adding microwave treatment. The data of clinical effect and healing time of the incision was compared among each group. Results There was sig- nificant difference of healing time between control group and microwave group in stitch removal and draining group （ P 〈 0. 01 ）. Moreover stitch removal rate would be reduced with microwave treatment and shorten healing time of the incision with fat liquefaction. Conclusion It was a good method with less time of therapy to treat fat liquefaction in abdominal incisions by microwave.