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目的探讨腹壁切口脂肪液化放置白糖(以下简称改良组)与腹壁切口脂肪液化行Ⅱ期缝合(以下简称传统组)对腹壁切口愈合的影响。方法 2006年1月至2012年1月在我院及外院行剖腹手术包括剖宫产,妇科恶性肿瘤手术,及多次剖腹手术史的脂肪液化患者共80例随机分成2组,分别进行腹壁切口放置白糖法及腹壁切口行Ⅱ期缝合术各40例。观察两组患者术中出血量、术后疼痛时间、术后切口愈合时间、术后切口愈合情况。结果腹壁切口放置白糖法的术中出血量、术后疼痛时间、术后愈合时间、术后切口愈合情况优于传统组(P均<0.01),两组患者的平均年龄及腹部手术史比较差异无统计学意义(P均>0.01)。结论腹壁切口脂肪液化放置白糖法较腹壁切口脂肪液化行Ⅱ期缝合术,术中出血少,术后疼痛轻、患者平均住院时间短,且操作简便,术后患者恢复快,是一种较好的腹壁切口脂肪液化治疗方法。
Objective To investigate the effect of abdominal wall incision fat liquefaction placed white sugar (hereinafter referred to as the improved group) and abdominal wall incision fat liquefaction Ⅱ stage suture (hereinafter referred to as the traditional group) on the healing of abdominal incision. Methods From January 2006 to January 2012, 80 patients with fat liquefaction who underwent caesarean section, gynecological malignant tumor surgery and multiple laparotomy in our hospital and outside hospital were randomly divided into 2 groups. The abdominal incision Placed white sugar method and abdominal incision line suture 40 cases. Two groups of patients were observed intraoperative blood loss, postoperative pain time, postoperative wound healing time, postoperative wound healing. Results The intraoperative blood loss, the postoperative pain time, the postoperative healing time and the postoperative incision healing were better than those in the traditional group (P <0.01). The average age and abdominal surgery history of the two groups were significantly different No statistical significance (P> 0.01). Conclusions The abdominal wall incision fat liquefaction placed sugar method compared with abdominal wall incision fat liquefaction line Ⅱ suture operation, less bleeding, postoperative pain, the average hospitalization time is short, and the operation is simple, postoperative patients recover quickly, is a better Abdominal incision fat liquefaction therapy.