妇产科腹部手术切口脂肪液化165例临床分析

Clinical Analysis in 165 Cases of Abdominal Surgical Wound Fat Liquefaction in Department of Obstetrics and Gynecology

目的探讨妇产科腹部手术切口脂肪液化的发生原因、治疗方法及预防措施.方法回顾性分析红河州第一人民医院2000年6月至2011年6月1 711例妇产科腹部手术,其中切口脂肪液化患者165作为病例组,无切口脂肪液化者1 546例作为对照组,分析患者切口脂肪液化的原因,总结治疗经验及预防措施.结果年龄>60岁(χ2=12.44,P=0.0004)、肥胖(身体指数BMI>24)(χ2=6.59,P=0.01)、糖尿病(χ2=7.69,P=0.005)和Ⅲ类切口(χ2=25.94,P<0.0001)是术后切口发生脂肪液化的独立危险因素.结论伴有糖尿病年龄大于60岁且超重的Ⅲ类切口患者是术后脂肪液化的危险人群.

Objective To explore the causes,treatment methods and prevention measures of abdominal surgical wound fat liquefaction in department of Obstetrics and Gynecology.Method We retrospectively analyzed the clinical data of 165 cases of abdominal incision fat liquefaction in department of Obstetrics and Gynecology in our hospital from June 2000 to June 2011,and analyzed the causes,treatment methods and prevention measures.Results The total effective rate was 100% in 165 patients after treatment.All patients were cured,and no case of bacterial infection occurred,the average wound healing time was 7 ~ 15 d,the average length of stay was 15.5 ± 4.2 d.Obesity accounted for the largest proportion(68.5%)in the risk factors,and is significantly different to other risk factors(P<0.05).Conclusion Patients over 60 with diabetes,obesity,and Ⅲoperation incision are risk population of fat liquefaction.