摘要
①目的 分析妇科择期经腹手术术后切口裂开发生率及相关因素。②方法 回顾性分析 1998年 1月～ 2 0 0 3年 4月间妇科住院择期经腹手术病人 5 331例中切口裂开病人的临床资料。③结果 手术后切口裂开33例 ,裂开发生率为 0 .6 2 % ,其中良性疾病切口裂开发生率为 0 .36 % ,子宫恶性疾病为 1.77% ,卵巢恶性疾病为4 .4 8%。 2 3.5 3% 的切口裂开病人二次缝合时局部出现血肿。术后贫血病人占 4 0 .0 0 % 以上。良性疾病手术病人 5 8.82 %体质量指数 >2 8。④结论 切口缝合时止血不良、术后贫血、低蛋白血症及肥胖等是手术切口裂开的相关因素。
Objective To analyse the disruption rate of abdominal wounds and its related factors following selective gynecological operation. Methods The disruption rate of 5 331 selective abdominal operations for gynecological diseases from January 1998 to Aprl 2003 was analysed retrospectively. Results Abdominal wound disruptions were recorded in 33(0.62%) patients. The disruption rate of the benign diseases, malignant uterine diseases and malignant ovarian tumors was 0.36%, 1.77% and 4.48% , respectively. Local hematoma occurred in 23.53% of the wounds at secondary closures. The post-operative anaemia rate was over 40.00%. The BMI of 58.82% of the patients with benign diseases was over 28. Conclusion The disruption of abdominal wound was associated with poor hemostasis during closure, post-operative anaemia, hypoalbuminemia, and obesity.
出处
《齐鲁医学杂志》
2004年第4期303-304,共2页
Medical Journal of Qilu
关键词
切口裂开
血肿
肥胖
低蛋白血症
贫血
wound disruption
hematoma
obesity
hypoproteinemia
anemia
