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会阴侧切术是产科常用手术之一,易并发切口感染,治疗时间往往较长,给患者增加痛苦和负担.近几年来,我们对侧切感染伤口,在控制感染的情况下给予第二次缝合,取得良好效果,报告如下:1 资料与方法1.1 一般资料 1992年12月至1995年12月,我院会阴侧切感染裂开共31例,其中全切口裂开12例.切口上2/3裂开19例.裂开深度均达肌层,局部有红肿、压痛及脓性分泌物.1.2 方法 拆除缝线,将伤口完全敞口,用利凡诺纱布条加灭滴灵粉敷于创口,每日1次,同时配合全身抗感染及支持疗法.待换药2～3天后局部红肿消退,脓性分泌物基本消失时行第二次缝合.用普鲁卡因局部浸润麻醉.彻底消毒裂口,搔刮裂口创面,去除表面坏死组织.直至见到新鲜创面为止.再将裂口周围皮肤稍行修剪形成新鲜创缘,然后用4号丝线全层间断缝合(包括肌层和皮下组织).每一针都要穿透切口基底
Side of the episiotomy is one of the common obstetric surgery, complicated with incisional infection, the treatment time is often longer, to patients with increased pain and burden.In recent years, we wound infection in the lateral, in the case of infection control given a second suture, Achieved good results, the report is as follows: 1 Materials and Methods 1.1 General Information December 1992 to December 1995, our hospital episiotomy circumcision infection split a total of 31 cases, of which 12 cases of total incision split incision on the 2/3 split open 19 cases were split depth of muscular layer, there are local swelling, tenderness and purulent secretions .1.2 methods to remove the suture, the wound completely open, with rivanol gauze metronidazole powder deposited in the wound, each Day 1, at the same time with systemic anti-infective and supportive therapy to be dressing 2 to 3 days after the local redness subsided, purulent secretions basically disappeared when the second suture with procaine local infiltration anesthesia, complete disinfection of the gap, Scratch the incision to remove the necrotic tissue until the fresh wound is seen, and then trim the skin around the incision to create a fresh wound, and then suture the entire layer (including the muscular layer and the subcutaneous tissue) with the No. 4 silk thread. The needles penetrate the incision base