腹部手术切口脂肪液化的临床分析

Clinical analysis on the fat liquefaction of abdominal operative incision

目的 探讨腹部手术切口脂肪液化的危险因素、诊断、治疗及预防措施。方法 采用回顾性调查方法从我院 2 0 0 0年～ 2 0 0 3年间腹部手术后发生切口脂肪液化的病例中随机抽样 30例作为实验组 ,同时、同期手术未发生切口脂肪液化的腹部手术病例中随机抽样 30例作为对照组进行对比分析。结果 综合性、易感性诱发因素均可造成切口脂肪液化。危险因素中除基础疾病因素无显著性差异外 (P >0 .0 5 ) ,其余体型、使用电刀、切口类型、切口长度、手术时间、手术类型、性别等危险因素有显著性差异 (P <0 .0 5 )。结论 充分做好腹部手术的围手术期准备工作 ,把好手术“进出关” ,加强病房及手术室的管理等综合性措施 ,可减少或避免腹部手术后切口脂肪液化的发生。

Objective To determine the dangerous factors resulted in the fat liquefaction of abdominal operative incision,and to study its diagnosis,treatment and prevention.Methods Using the retrospective studies,30 patients with fat liquefaction of abdominal operative incision and 30 patients with normal incision were analyzed from 2000 to 2003.Results Comprehensive and susceptible provocative factors can both cause the fat liquefaction of operative incision.There are significant differences(P< 0.05 )in the age,body configuration,wound,operation typology,the length of wound,the time duration of operation,the basic disease,the number of days in hospital before the operation,the use of antibiotic for prevention and so on,except the basis disease(P> 0.05 ).Conclusion To make a full operation;to improve the immune of patients;and to enhance the management of wards and operation rooms can also reduce or avoid the probability of the incision fat liquefaction after the belly operation.