紫外线预防妇产科腹部手术切口脂肪液化120例临床观察

目的:观察紫外线防治妇产科腹部手术切口脂肪液化的疗效。方法:120例妇产科腹部手术患者随机分为紫外线治疗组(58例)和常规换药治疗组(62例),对紫外线治疗组患者从手术后第1天开始,采用短波紫外线治疗仪对切口进行照射治疗,照射后给予常规消毒换药处理更换敷料,直至切口愈合拆线,常规换药治疗组产妇则采用常规消毒更换敷料的方法,直至切口愈合拆线,比较两组脂肪液化率、甲级切口愈合率及切口愈合时间。结果:紫外线治疗组切口愈合时间(10.18±2.96)d]显著短于常规换药治疗组(13.73±3.24)d](P<0.001),且甲级愈合率明显升高(P<0.001),切口脂肪液化发生率(1.72%)明显低于常规换药治疗组(9.67%)(P<0.05)。结论:紫外线辐射治疗对妇科腹部手术切口愈合具有明显的促进作用。

Preventive effect of ultraviolet on fat liquefaction of abdominal incision

Objective：To investigate efficacy of ultraviolet（UVC） on prevention the abdominal incision from fat liquefaction in the obstetrics and gynecology department.Methods：A total of 120 patients were randomly divided into treatment group（58 cases） and control group（62 cases）.Radiation therapy was applied to patients in the treatment group from the 1st day after surgery by shortwave ultraviolet instrument,and then they were treated with conventionally dry dressing until healing.While cases in the control group received conventional dry dressing only.The incidence of fat liquefaction,healing rate at stageⅠ and healing time were observed and compared.Results：The healing time of treatment group （10.18±2.96） days] was significantly shorter than the control group （13.73±3.24） days]（P0.001）.The healing rate at stageⅠ in treatment group was significantly higher than that in control group（P0.001）.Incidence of fat liquefaction in treatment group（1.72%） was significantly lower than that of the control group.Conclusions：Ultraviolet（UVC） could prevent the abdominal incision from fat liquefaction.