泌尿外科术后切口脂肪液化诊治体会（附57例报告）

Diagnosis and Treatment of Fat Liquefaction of Incision in Urology （a Report of 57 Cases）

【目的】探讨泌尿外科手术后切口脂肪液化的原因及诊断和治疗。【方法】2000年6月至2009年1月，吉林大学第二医院泌尿外科共发生术后切口脂肪液化57例。均给予抗生素预防感染。合并糖尿病患者控制血糖，贫血患者适当输血，低蛋白血症患者给予白蛋白静脉点滴。根据切口愈合情况及渗液多少，采取不同的治疗方法。【结果】无院内感染发生。对于切口有少量渗液，表皮未裂开，液化范围小且浅表者，多数病人经3～4d换药后可按期拆线，切口愈合良好，住院时间较正常无脂肪液化者无延长。对于渗液较多，切口部分愈合不良，可拆除部分缝线者，术后住院时间12～16d。对于渗液较多、面积较大、全层裂开者，术后住院时间15～30d。【结论】只要及时正确地诊断与恰当的处理，切口脂肪液化均有良好的预后。

[Objective] To investigate the reason, diagnosis and treatment of fat liquefaction of incision in urology. [Methods] Fifty seven cases of fat liquefaction of incision happened from June 2000 to January 2009. All patients were given antibiotics for preventing infection. Blood glucose, anemia and hypoproteinemia were controlled. Different local treatment was adopted. [Results]There was no case of hospital onset of infection. All of the wound healings were good after different treatment. [Conclusion] All the cases have good prognosis after prompt exact diagnosis and treatment if fat liquefaction of incision in urology happens.