妇科肥胖患者腹壁切口脂肪液化的防治

Prevention and treatment of fat liquefaction in gynecological obese patients after abdominal incision

目的探讨妇科肥胖患者腹部手术切口脂肪液化防治的最佳措施。方法将84例行腹部手术的妇科肥胖患者根据术中皮下脂肪层是否放置负压吸引球分为观察组（46例）和对照组（38例），两组患者术后均进行腹部切口理疗。结果观察组脂肪液化发生率为8．7％，低于对照组的26．3％（X2=4．65，P〈0．05）。结论防治妇科肥胖患者腹部切口术后脂肪液化，保持切口干燥、引流通畅很重要。

Objective To explore the best fat liquefaction prevention measures for gynecological obese pa- tients with abdominal incision. Methods 84 gynecological obese patients with abdominal incision were divided into the observation group （46 cases） and control group （38 cases） , according to the negative pressure attract ball placed or not in the subcutaneous fat layer during operation. Patients in both groups were taken abdominal incision physiothera- py. Results The fat liquefaction rate of the observation group was 8.7%, which was lower than that of the control group（26.3% ）（ X2 = 4.65, P 〈 0.05 ）. Conclusion It is very important to keep the incision dry, smooth drainage for prevention and treatment of fat liquefaction in gynecological obese patients after abdominal incision.