当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
14期
62-62,63
,共2页
负压引流管%剖宫产%切口%脂肪液化
負壓引流管%剖宮產%切口%脂肪液化
부압인류관%부궁산%절구%지방액화
Negative pressure drainage tube%Cesarean section%Incision%Fat liquefaction
目的：分析负压引流管在处理肥胖患者剖宫产切口中的应用效果，旨在改进当前剖宫产切口的处理方法。方法选取2012年5月～2012年12月来广东省东莞市茶山医院产科行剖宫产术的产妇共计60例。随机均分为对照组和试验组（n=30）。对照组采取剖宫产后常规缝合。试验采用脂肪层与筋膜层之间留置负压引流管，然后间断全层缝合皮肤及皮下脂肪层，1～2d拔管，7d拆线。2组缝合后均沙袋压迫6h。比较2组切口愈合情况。结果术后观察两个月，脂肪液化试验组1例，对照组4例。切口皮下硬结试验组2例，对照组5例。切口裂开试验组无，对照组2例。切口皮下血肿试验组无，对照组1例。愈合时间试验组平均（25.5±2.5）d，对照组平均（40.8±4.3）d。各并发症发生率试验组均较对照组低，愈合时间较对照组高，差异有统计学意义（P<0.05）。结论皮下置负压引流管对肥胖患者剖宫产产妇切口愈合临床效果好且操作简单，应在临床广泛推广。
目的：分析負壓引流管在處理肥胖患者剖宮產切口中的應用效果，旨在改進噹前剖宮產切口的處理方法。方法選取2012年5月～2012年12月來廣東省東莞市茶山醫院產科行剖宮產術的產婦共計60例。隨機均分為對照組和試驗組（n=30）。對照組採取剖宮產後常規縫閤。試驗採用脂肪層與觔膜層之間留置負壓引流管，然後間斷全層縫閤皮膚及皮下脂肪層，1～2d拔管，7d拆線。2組縫閤後均沙袋壓迫6h。比較2組切口愈閤情況。結果術後觀察兩箇月，脂肪液化試驗組1例，對照組4例。切口皮下硬結試驗組2例，對照組5例。切口裂開試驗組無，對照組2例。切口皮下血腫試驗組無，對照組1例。愈閤時間試驗組平均（25.5±2.5）d，對照組平均（40.8±4.3）d。各併髮癥髮生率試驗組均較對照組低，愈閤時間較對照組高，差異有統計學意義（P<0.05）。結論皮下置負壓引流管對肥胖患者剖宮產產婦切口愈閤臨床效果好且操作簡單，應在臨床廣汎推廣。
목적：분석부압인류관재처리비반환자부궁산절구중적응용효과，지재개진당전부궁산절구적처리방법。방법선취2012년5월～2012년12월래광동성동완시다산의원산과행부궁산술적산부공계60례。수궤균분위대조조화시험조（n=30）。대조조채취부궁산후상규봉합。시험채용지방층여근막층지간류치부압인류관，연후간단전층봉합피부급피하지방층，1～2d발관，7d탁선。2조봉합후균사대압박6h。비교2조절구유합정황。결과술후관찰량개월，지방액화시험조1례，대조조4례。절구피하경결시험조2례，대조조5례。절구렬개시험조무，대조조2례。절구피하혈종시험조무，대조조1례。유합시간시험조평균（25.5±2.5）d，대조조평균（40.8±4.3）d。각병발증발생솔시험조균교대조조저，유합시간교대조조고，차이유통계학의의（P<0.05）。결론피하치부압인류관대비반환자부궁산산부절구유합림상효과호차조작간단，응재림상엄범추엄。
Objective Analyze the application effect of the negative pressure drainage tube using in the cesarean section fat patients’ incision. Aiming to improve the current processing method of cesarean section incision and guide the clinical application of negative pressure drainage tube. Methods Choose 60 cases of puerperal doing cesarean section in our hospital from May 2012 to December 2012. 60 cases were randomLy divided into the control group and the experimental group.there were 30 cases in each group. The control group was taken conventional suture. The experimental group using the negative pressure drainage tube between fat layer and fascia layer and do the continuous intradermal suture. Take out the tube after one or two days and the stitches after seven days. Both groups were taken sandbags oppression for six hours after suture. The healing of the incision of two groups were compared. Results Take the observation for two months after operation. The fat liquefaction:1 case in experimental group, 4 cases in the control group. The subcutaneous scleroma:2 cases in experimental group, 5 cases in the control group. Incision dehiscence:zero cases in the experimental group and 2 cases in the control group. The subcutaneous hematoma:zero cases in the experimental group and 1 cases in the control group. Average healing time:experimental group was (25.5±2.5)d and control group was (40.8±4.3) d. The experimental group’s complications incidence was lower than those of control group but the healing time was higher, the difference was statistically signiifcant (P<0.05). Conclusion The clinical effect is good and operation is simple that negative pressure drainage tube was put in subcutaneous for caesarean section maternal incision healing, it should be widely applied.
