皮片引流降低剖宫产术后腹壁切口并发症

• 作 者: 蔡仙丽
• 机 构: 浙江省台州市椒江人民医院
• 出 处: 河南医药信息
• 发表日期: 1997年12期
• 关键词: 皮片引流 剖宫产术 腹壁切口 脂肪液化 剖宫产者 手术时间 切口感染率 皮下血肿 全层减张缝合 切口愈合情况

切口感染、脂肪液化、皮下血肿是常见手术切口并发症。本文将４００例剖宫产者随机分为两组，Ａ组腹壁切口皮下放置皮片引流，Ｂ组为对照组。结果放置皮片引流组切口感染率为１％，脂肪液化切口裂开发生率为１％，血肿为０．５％。对照组分别为５％、７％、４％。两组经卡方检验差异显著（Ｐ＜０．０５），其中脂肪液化切口裂开差异非常显著（Ｐ＜０．０１）。结果提示腹部放置皮片引流对降低腹壁切口并发症有一定效果，此法简单，值得荐用。

Incision infection, fat liquefaction, subcutaneous hematoma is a common surgical incision complications. In this paper, 400 cases of cesarean section were randomly divided into two groups, A group of abdominal incision placed subcutaneous drainage, B group as the control group. Results The skin incision infection rate was 1%, fat liquefaction incision rupture rate was 1%, hematoma 0.5%. Control group were 5%, 7%, 4%. There was significant difference between the two groups by chi-square test (P <0.05), among which there was significant difference (P <0.01) in the incision of fat liquefied incision. The results suggest that the abdominal skin graft drainage to reduce the complications of abdominal incision has a certain effect, this method is simple, it is recommended.