超短波治疗妇产科腹部切口脂肪液化的临床分析

Treatment of fat liquefaction in obstetrical and gynecological abdominal incision by ultra-short wave

目的探讨使用超短波治疗妇产科腹部手术切口脂肪液化的临床疗效。方法将2009年9月～2011年10月在我科行腹部手术后发生切口脂肪液化的60例患者随机分为观察组和对照组,每组各30例。观察组:扩开切口脂肪液化处,去除无生机的脂肪组织,纱条填塞引流,然后用超短波电疗机对切口处进行治疗。每日换药1次,超短波治疗1次,每次15 min,切口干燥后用蝶形胶布拉拢固定。对照组:扩开切口脂肪液化处,去除无生机的脂肪组织,纱条填塞引流,每日换药1次,切口干燥后用蝶形胶布拉拢固定。结果观察组切口完全愈合时间、换药次数、住院天数与对照组比较,差异均有显著性(P<0.01或P<0.05)。结论超短波能促进组织细胞再生,促进炎症渗出物的吸收,加快切口愈合。

Objective To investigate the effect of ultra-short wave in the treatment of fat liquefacuon in obstetrical and gy- necological operation incision. Methods 60 patients with fat liquefaction in abdominal operation incision were randomly divid- ed into a treatment a group and a control group （30 cases each } in our department from September 2009 to October 2011. In the treatment group, the incision was expanded at the position of fat liquefaction ,necrotic fatty tissues were removed r drainage was conducted with gauze ,followed by ultra-short wave machine treatment. All patients received daily incision dressing plus a daily 15 minute ultra-short wave treatment. The incision was fixed with a butterfly tape until it was dry. In the control group, all procedures were same with that of the treatment group except uhra-short wave treatment. Results The incision healing time, frequency of dressing changes, length of hospital stay of the treatment group were significantly less compared with the control group （ P 〈 0.01, P 〈 0.05, P 〈 0.01, respectively ）. Conclusion The ultra-short wave can promote the tissue regeneration, fasten the absorption of inflammatory exudates, as well as accelerate healing of incision.