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目的探讨剖宫产术中切口脂肪层放置微细腹壁引流管在预防切口脂肪液化、切口愈合不良方面的疗效。方法将2006年3月-2012年11月2000例剖宫产孕妇随机分为观察组与对照组各1000例。观察组在关腹时在皮下脂肪层底部、腹直肌前鞘上放置自制微细腹壁引流管,术后48h拔出。对照组不置引流管。结果观察组切口脂肪液化、不愈合率0.3%,明显少于对照组的16%(P<0.005),术后病率观察组明显低于对照组。结论剖宫产手术中放置微细腹壁引流管持续引流是预防切口脂肪液化促进切口愈合的有效措施。
Objective To investigate the curative effect of fine abdominal drainage tube in incision fat layer in cesarean section in preventing incision fat liquefaction and incision healing. Methods From March 2006 to November 2012, 2000 pregnant women with cesarean section were randomly divided into observation group and control group with 1000 cases each. The observation group was placed at the bottom of the subcutaneous fat layer and the rectus abdominis muscle sheath at home when the abdomen was placed home-made fine abdominal drainage tube, pull out after 48h. Control group without drainage tube. Results The incision fat liquefaction in the observation group was 0.3%, which was significantly lower than that of the control group (P <0.005). The postoperative morbidity observation group was significantly lower than that of the control group. Conclusion Cesarean section placement of fine abdominal drainage tube continuous drainage is an effective measure to prevent incision fat liquefaction and promote wound healing.