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1980年1月至1984年9月底,我县行输卵管结扎术17242例。手术后出现严重并发症27例。现对这些并发症的原因分析如下,并提出防治意见。一、切口感染、经久不愈,形成腹壁窦道16例大多数是手术后切口感染,在当地换药1～2月创口不愈来院,有1例创口反复发作,感染长达1年余。估计主要原因,可能是基层医院大批行结扎手术时,与消毒不严密,无菌操作不严格有关。处理:对10例窦道一次搔刮,同时检出缝合腹膜和腹直肌前鞘的7号粗线头,经数次换药即痊愈。6例于窦道内注入美蓝作标志,行窦道切除术。预防:术前准备和手术的每一个环节,都应严密消毒、无菌操作。腹膜和腹
From January 1980 to the end of September 1984, 17,242 cases of tubal ligation were performed in our county. Severe complications after surgery in 27 cases. The reasons for these complications are as follows, and put forward prevention and treatment advice. First, the incision infection, prolonged unhealed, the formation of the abdominal wall of the sinus 16 cases of incision infection after surgery, dressing in the local January to February unhealed wounds, 1 case of recurrent wounds, infection for more than 1 year. It is estimated that the main reason may be a large number of primary hospital ligation surgery, and disinfection is not tight, sterile operation is not strictly related. Treatment: 10 cases of sinus scratch once detected at the same time the suture of peritoneum and rectus abdominis sheath before the 7th thread, after several dressing that heal. Six cases were injected with methylene blue in the sinus as a marker for sinus surgery. Prevention: Preoperative preparation and surgery in every aspect, should be carefully disinfected, sterile operation. Peritoneum and abdomen