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目的:研究妇产科手术切口部位脂肪液化的原因。方法:将1146例行妇产科手术的患者根据是否发生脂肪液化分为液化组(63例)、正常组(1083例),对脂肪液化危险因素进行Logistic回归分析。结果:两组腹壁脂肪厚度、合并糖尿病、切口长度、术中失血量、缝合方法、电刀使用率等差异有统计学意义(P<0.05);Logistic回归分析发现腹壁脂肪层厚、合并糖尿病、缝合皮下脂肪、使用电刀是切口脂肪液化的独立危险因素。结论:妇产科术后切口脂肪液化危险因素复杂,临床应加大重视,积极预防脂肪液化。
Objective: To study the causes of fat liquefaction in obstetrics and gynecology incision site. Methods: 1146 patients undergoing obstetrics and gynecology were divided into liquefaction group (63 cases) and normal group (1083 cases) according to whether there was fat liquefaction. Logistic regression analysis was conducted on the risk factors of liquefaction. Results: There were significant differences in abdominal fat thickness, diabetes, incision length, intraoperative blood loss, suture method and electric knife utilization rate between the two groups (P <0.05). Logistic regression analysis showed that the thickness of abdominal fat wall, diabetes mellitus, Suture subcutaneous fat, the use of electric knife is an independent risk factor for incision fat liquefaction. Conclusion: Obstetrics and Gynecology incision fat liquefaction risk factors complicated clinical should pay more attention to actively prevent fat liquefaction.