腹部胰腺损伤手术切口脂肪液化的诊治分析.docVIP

精品论文 参考文献 腹部胰腺损伤手术切口脂肪液化的诊治分析 包士洪 　　（乐清市第五人民 医院 浙江 乐清 325615） 　　【摘 要】目的：研究腹部胰腺损伤手术切口脂肪液化的临床治疗分析。方法：收集我院从2005年7月至2009年11月收治的腹部胰腺损伤患者42例，采用随机数字表法将42例腹部胰腺损伤患者分为观察组（21例）和对照组（21例），对应随机数字为偶数者为观察组，奇数者为对照组。对照组采取传统方法治疗，观察组采取切口置管持续负压吸引治疗，观察对比两组患者的切口愈合等级，切口愈合时间、患者住院时间。结果：观察组甲级切口的愈合率为61.90%，对照组的甲级切口愈合率为28.57%，观察组比对照组愈合情况更好，差异具有统计学意义(Plt;0.05)；观察组的切口愈合时间、患者住院时间明显短于对照组，差异具有统计学意义(Plt;0.05)。结论：切口置管持续负压吸引技术在腹部胰腺损伤手术腹部切口脂肪液化具有一定的积极指导意义，能促进切口肉芽组织的生长，大大减轻患者的痛苦，值得在临床上进一步推广应用。 　　【关键词】腹部；胰腺损伤；手术切口；脂肪液化；诊治分析 　　【中图分类号】R576 【文献标识码】B 【文章编号】1004-6194（2015）01-0199-02 　　Analysis of abdominal operation incision fat liquefaction of the diagnosis and treatment of pancreatic injury 　　【Abstract】Objective: analysis of pancreatic injury in abdominal operation incision fat liquefaction of clinical treatment. Methods: collected in our hospital from 2005 July to 2009 42 patients treated in November, abdominal injury of pancreas, randomly 42 cases of patients with abdominal injury of pancreas are divided into observation group (21 cases) and control group (21 cases), the corresponding random number is even number as the observation group, the odd number as control group. The control group used the traditional method of treatment, the observation group adopted incision catheter persistent negative pressure suction treatment level healing was observed and compared two groups of patients with incision, incision healing time, hospitalization time. Results: the group of grade a incision healing rate was 61.90%, the control class incision healing rate was 28.57%, the observation group than in the control group healed better, with significant difference (Plt;0.05); observation group, incision healing time, hospitalization time was significantly shorter than the control group, with significant difference (Plt;0.05). Conclusion: the incision catheter persistent negative pressure suction technique in abdominal injury of pancreas surgery abdominal incision fat liquefaction has certain positive significance,