12例腹部手术切口脂肪液化的临床分析

目的：探讨腹部手术后切口脂肪液化的原因和防治措施。方法：回顾分析1997年11月～2009年11月笔者所在医院112例腹部手术后发生切口脂肪液化的患者的临床资料。结果：肥胖、糖尿病、低蛋白血症、贫血、使用高频电刀、过度牵拉挤压、长时间暴露、留有死腔、不当的切口位置等因素与脂肪液化有关，采取综合处理后全部愈合。结论：避免切口脂肪液化发生的因素，及早发现及综合有效的处理能预防切口脂肪液化或缩短愈合时间，减轻患者的痛苦。

The clinical analysis of 112 experience of patients about the fat liquefaction of abdominal incision

Objective：To probe into the etiology and prophylactic-therapeutic measures in the fat liquefaction abdominal incision. Methods： The clinical data of 112 patients who received abdominal surgical operation and the abdominal incision occur fat liquefaction from November 1997 to November 2009 were analiyzed. Results： Adiposity,diabetes,hypoproteinemia,anemia,electrotome knife,overly tractive and mouthpiece pressing,time exposure,leave physiological dead space,undue location of the incision related to the fat liquefaction,it would cicatrization after adopting synthesize. Conclusion： Avoid the elements of the fat liquefaction,find it out and do some effective disposal can prevent the fat liquefaction or shorten the time of cicatrisation ,lighten the patiens＇pain.