腹部手术切口愈合不良58例临床分析

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.

Clinical analysis of the abdominal wound undesirable healing in 58 cases

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 hypoproteinemia: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.