引起妇产科手术切口脂肪液化相关因素临床分析.docVIP

引起妇产科手术切口脂肪液化相关因素临床分析 　　[摘要] 目的 探讨引起妇产科手术切口脂肪液化的相关因素。 方法 95例妇产科手术切口发生脂肪液化的患者均为我院2010年4月～2012年4月收治，作为研究组，同期无切口脂肪液化患者选取80例作为对照组，观察引起妇产科手术切口脂肪液化的相关因素。 结果 体质量指数、合并全身性疾病、缝合技术欠佳、应用手术电刀、切口暴露时间、脂肪厚度，切口未冲洗是引起切口脂肪液化的相关因素，两组比较差异有统计学意义（P0.05）。 结论 妇产科切口脂肪液化影响因素复杂，通过针对相关危险因素实施干预可减少切口脂肪液化的发生。 　　[关键词] 妇产科；手术切口；脂肪液化；相关因素 　　[中图分类号] R713 [文献标识码] B [文章编号] 2095-0616（2014）24-192-03 　　Clinical analysis of related factors of operation incision fat liquefaction in obstetrics and gynecology 　　ZHOU Zhihui 　　Department of Obstetrical，Yingcheng Peoples Hospital，Yingcheng 432400， China 　　[Abstract] Objective To explore the related factors of operation incision fat liquefaction in obstetrics and gynecology. Methods 95 patients with operation incision fat liquefaction in our hospital were selected as the study group， who were in our hospital from 2010 April to 2012 April. 80 cases were selected as control group， who were without incision fat liquefaction. The related factors of gynecology and obstetric operation incision fat liquefaction were observed. Results The factors of incision fat liquefaction were body mass index， combined with systemic disease， bad technique of suture， application of surgical electric knife， incision exposure time， fat thickness，and incision without flushing. Incision without flushing was related factors of incision fat liquefaction， and the difference between the two groups was significant （P0.05）. Conclusion The influencing factors of incision fat liquefaction are complex. Incision fat liquefaction is reduced through the intervention implementation of against risk factors. 　　[Key words] Obstetrics and gynecology； Operative incision； Fat liquefaction； Related factor 　　近些年来随着生活水平的提高，肥胖的人越来越多，尤其孕妇进补更甚，肥胖者更多，腹部手术者日趋增加，腹部切口脂肪液化的发生率随之增加。妇产科手术一旦造成切口脂肪液化，既拖延了治愈的时间，也给患者及家属加重了负担。妇科腹部手术伤口愈合过程中，发生的主要并发症为脂肪液化，其容易导致伤口迁延愈合，或继发感染给患者造成了巨大的痛苦 [1-2]。本研究探讨引起妇产科手术切口脂肪液化的相关因素，现将研究结果报道如下。 　　1 资料与方法 　　1.1 一般资料 　　95例妇产科手术切口发生脂肪液化的患者均为我院2010年4月～2012年4月收治，将其作为研究组，其中行子宫切除术者18例，行宫外孕手术者