普通外科手术切口愈合不良的影响因素及防治探讨

Study on Influencing Factors of General Surgical Operation Incision Faulty-union and Preventive Treatment

目的：探讨普通外科手术切口愈合不良的影响因素以及有效防治对策。方法：对43例手术切口愈合不良患者的临床资料进行回顾性分析，包括患者手术后至切口愈合不良发生的间隔时间、患者手术切口愈合不良的类型及发生率等，根据分析结果，总结出普通外科手术切口愈合不良的影响因素及具体防治措施。结果：41例普通外科手术切口愈合不良患者中，切口脂肪液化所占比例最高，为49.34％；而腹部手术患者发生切口愈合不良所占比例最高，为73．17％。结论：对患者进行手术治疗时，应尽量避免可能引起患者手术切口愈合不良的危险因素，对于肥胖、糖尿病等患者应于术后进行手术切口密切观察，一旦发现愈合不良情况应及时进行干预，从而有效降低患者手术切口愈合不良发生率，提高患者生活质量。

Objective： To investigate the influencing factors of general surgical operation incision faultyunion and effective countermeasures. Meth otis： A retrospective analysis was made based on the clinical data of 43 patients with impaired surgical incision healing, including the interval occur rence, type and incidence of postoperative incision faultyunion, according to the results of the analysis, the influencing factors of general surgical op eration incision faultyunion and specific prevention measures were summed up. Results： Among 41 patients with general surgical operation incision faultyunion, incision fat liquefaction accounted for highest proportion by 49.34%; while patients with abdominal operation incision faultyunion ac counted for highest proportion by 73.17%. Conclusion： When operating on the patient, risk factors should be avoided so as not to cause operation in cision faultyunion, patients with obesity and diabetes should be close observed of operation incision postoperative, once abnormal healing situation occurs, it should be timely intervened, in order to effectively reduce the incidence of patients with operation incision faultyunion and improve their life quality.