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目的探讨一次性单向阀硅胶负压吸引球在妇科恶性肿瘤手术中的应用。方法选取安徽省立医院妇科2011年8月-2012年1月同组医师进行的妇科恶性肿瘤手术患者44例。随机将患者分为观察组及对照组,其中观察组(一次性单向阀硅胶负压吸引球组)22例,对照组(常规缝合组)22例,分析两组患者的临床资料,比较两组患者切口愈合情况。结果观察组患者均无脂肪液化、感染、切口裂开等愈合不良,切口甲级愈合,外观平坦美观。对照组中切口裂开行二次缝合1例,脂肪液化6例,均行中药外敷后好转。统计学分析显示两组患者关腹时间差异有统计学意义(P<0.01),脂肪液化率差异有统计学意义(P<0.05),而在切口裂开率中两组患者差异无统计学意义(P>0.05)。结论妇科恶性肿瘤患者应用一次性单向阀硅胶负压引流球可有效预防切口脂肪液化;显著缩短关腹时间,切口愈合美观,是值得推广应用的新方法。
Objective To investigate the application of one-way one-way valve silicone vacuum suction ball in gynecological malignant tumor surgery. Methods Forty-four patients with gynecological malignant tumor who underwent gynecologic surgery in Anhui Provincial Hospital from August 2011 to January 2012 were selected. The patients were randomly divided into observation group and control group, 22 cases in the observation group (one-way one-way valve silica vacuum suction ball group) and 22 cases in the control group (conventional suture group). The clinical data of two groups were compared, Group patients incision healing. Results Patients in the observation group had no liquefaction, infection, incision rupture and other healing defects, incision grade healed, the appearance of flat and beautiful appearance. In the control group, incision was performed in one case with secondary incision and in 6 cases with fat liquefaction. Statistical analysis showed that there was significant difference between the two groups in the time of closing the stomach (P <0.01) and the liquefaction rate of fat was statistically significant (P <0.05), while there was no significant difference between the two groups in incision rate (P> 0.05). Conclusion Gynecological cancer patients with one-way one-way valve silicone negative pressure drainage ball can effectively prevent incision fat liquefaction; significantly shorten the closing time, the wound healing beautiful, is worth promoting the use of new methods.