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目的:对于基层医院进行妇产科腹部手术后,患者发生脂肪液化的危险因素进行研究,探究合理的治疗方法。方法:对于我院2014年1月至2015年6月中,收治住院的50例接受妇产科腹部手术,而后出现脂肪液化的患者的临床资料进行回顾性分析,探究其中的危险因素,研究合理的治疗方法。结果:年龄较大和体型较为肥胖愈容易引起脂肪液化,在50例脂肪液化的患者中,有35例的患者超过35岁,占到70%;肥胖患者为41例,占到82%。在接受常规的外科处理,胰岛素辅助高渗葡萄糖注射,以及紫外线照射理疗后,50例患者均全部治愈,其切口愈合时间低于10d的29例,占58%,达到和超过10d的21例,占到42%。结论:肥胖和年龄是导致妇产科腹部手术后出现脂肪液化的危险因素,对于出现脂肪液化的患者,进行积极地外科治疗,以及胰岛素和高渗葡萄糖的治疗方法,以及紫外线照射理疗,可以加快病变切口的愈合,具有较为显著地效果,有效的促进患者的康复。
OBJECTIVE: To study the risk factors of fat liquefaction in patients undergoing abdominal surgery in obstetrics and gynecology department in primary hospitals, and explore reasonable treatment methods. Methods: From January 2014 to June 2015 in our hospital, the clinical data of 50 patients who underwent abdominal gynecology and obstetrics obstetrics and gynecology were admitted to hospital were retrospectively analyzed to explore the risk factors and the research was reasonable The treatment. Results: Older and more obese patients were more likely to cause liquefaction. In 50 patients with liquefaction, 35 patients were over 35 years old, accounting for 70% of the total; 41 patients were obese, accounting for 82%. All of the 50 patients were cured after receiving routine surgical treatment, insulin-assisted hypertonic glucose infusion and ultraviolet radiation therapy. The healing time was less than 10 days in 29 cases (58%), 21 cases reached and exceeded 10 days, Accounting for 42%. Conclusions: Obesity and age are risk factors for fat liquefaction after abdominal surgery in obstetrics and gynecology. Patients who undergo fat liquefaction can be actively surgically treated and treated with insulin and hypertonic glucose, as well as UV exposure and physiotherapy, to speed up Lesion incision healing, with more significant effect, effectively promote the recovery of patients.