CAJ | 학술논문

目的:探讨普通外科手术切口愈合不良的影响因素以及有效防治对策.方法:对43例手术切口愈合不良患者的临床资料进行回顾性分析,包括患者手术后至切口愈合不良发生的间隔时间、患者手术切口愈合不良的类型及发生率等,根据分析结果,总结出普通外科手术切口愈合不良的影响因素及具体防治措施.结果:41例普通外科手术切口愈合不良患者中,切口脂肪液化所占比例最高,为49.34%;而腹部手术患者发生切口愈合不良所占比例最高,为73.17%.结论:对患者进行手术治疗时,应尽量避免可能引起患者手术切口愈合不良的危险因素,对于肥胖、糖尿病等患者应于术后进行手术切口密切观察,一旦发现愈合不良情况应及时进行干预,从而有效降低患者手术切口愈合不良发生率,提高患者生活质量.
목적:탐토보통외과수술절구유합불량적영향인소이급유효방치대책.방법:대43례수술절구유합불량환자적림상자료진행회고성분석,포괄환자수술후지절구유합불량발생적간격시간、환자수술절구유합불량적류형급발생솔등,근거분석결과,총결출보통외과수술절구유합불량적영향인소급구체방치조시.결과:41례보통외과수술절구유합불량환자중,절구지방액화소점비례최고,위49.34%;이복부수술환자발생절구유합불량소점비례최고,위73.17%.결론:대환자진행수술치료시,응진량피면가능인기환자수술절구유합불량적위험인소,대우비반、당뇨병등환자응우술후진행수술절구밀절관찰,일단발현유합불량정황응급시진행간예,종이유효강저환자수술절구유합불량발생솔,제고환자생활질량.
Objective:To investigate the influencing factors of general surgical operation incision faulty-union and effective countermeasures. Meth-ods:A retrospective analysis was made based on the clinical data of 43 patients with impaired surgical incision healing, including the interval occur-rence, type and incidence of postoperative incision faulty-union, according to the results of the analysis, the influencing factors of general surgical op-eration incision faulty-union and specific prevention measures were summed up. Results:Among 41 patients with general surgical operation incision faulty-union, incision fat liquefaction accounted for highest proportion by 49.34%;while patients with abdominal operation incision faulty-union ac-counted for highest proportion by 73.17%. Conclusion:When operating on the patient, risk factors should be avoided so as not to cause operation in-cision faulty-union, patients with obesity and diabetes should be close observed of operation incision postoperative, once abnormal healing situation occurs, it should be timely intervened, in order to effectively reduce the incidence of patients with operation incision faulty-union and improve their life quality.