CAJ | 학술논문

目的：探讨瘢痕切口再次剖宫产术，术后发生切口愈合不良的处理及防范措施。方法：收治瘢痕切口再次剖宫产术发生切口愈合不良患者12例。切口愈合不良分为切口感染和切口脂肪液化两种，根据渗液的多少采取不同的处理方法。结果：仅3例经换药后，渗液减少后进行了Ⅱ期缝合，其他9例均经换药后，达到Ⅰ期愈合，收效良好。结论：加强防范，积极处理，尽量减少瘢痕切口再次手术后切口愈合不良的发生，以促进切口的早期愈合。
목적：탐토반흔절구재차부궁산술，술후발생절구유합불량적처리급방범조시。방법：수치반흔절구재차부궁산술발생절구유합불량환자12례。절구유합불량분위절구감염화절구지방액화량충，근거삼액적다소채취불동적처리방법。결과：부3례경환약후，삼액감소후진행료Ⅱ기봉합，기타9례균경환약후，체도Ⅰ기유합，수효량호。결론：가강방범，적겁처리，진량감소반흔절구재차수술후절구유합불량적발생，이촉진절구적조기유합。
Objective:To investigate the treatment and prevention of poor wound healing of scar incision cesarean section again. Methods:12 patients with poor wound healing of scar incision cesarean section again were selected.The poor wound healing was divided into two kinds of incision infection and incision fat liquefaction,we took a different approach according to how much fluid. Results:Only 3 cases were given Ⅱ period suture when the drainage decrease after dressing change,the other 9 cases achieve Ⅰperiod healing after dressing change,with good results.Conclusion:If we want to promote the early healing of incision,we must strengthen the prevention,active treatment,and minimize to occur poor wound healing of scar incision cesarean section again.