微波照射联合利凡诺注射液治疗腹部手术切口愈合不良的临床体会

Clinical experience of microwave irradiation combined with rivanol injection in the treatment of poor healing of abdominal incision

目的：通过对妇产科腹部手术切口愈合不良的治疗，分析愈合不良发生原因与治疗效果。方法将本院2007年10月～2014年12月妇产科发生的30例腹部手术切口愈合不良的患者，随机分两组进行治疗。两组均给予切口换药。治疗组手术24h 后切口给予频谱微波照射，2次/d，每次30min。连续5～7d，及照射后用利凡诺注射液100mg 湿敷腹部切口，连续3～5d，对照组给予切口神灯治疗仪（TDP）理疗，2次/d，每次30min，连续5～7d。结果全部30例患者经过治疗后，切口愈合不良得到妥善的处理，患者均痊愈。治疗组效果明显优于对照组，总有效率高达93.33％，出现切口脂肪液化率低且明显缩短治疗时间及换药次数。结论术前预防，可以降低术后愈合不良、切口液化发生率。运用微波照射联合利凡诺注射液外敷治疗腹部手术切口愈合不良、预防切口液化效果明显，值得临床运用。

Objective To analyze the causes and curative effect of poor healing through the treatment of poor healing of gynecologic abdominal incision. Methods 30 patients with poor healing of abdominal incision that occurred in my department of our hospital from 2007 to 2014 were randomly allocated into two groups. Both of the groups were treated with incision dressing. The treatment group was given spectrum microwave irradiation to the incisions 24 hours after the surgery with twice a day, 30 min each time for consecutive 5 to 7 days. After the irradiation, 100mg rivanol injection was used to compress the abdominal incision for consecutive 3 to 5 days. The control group was given the incision TDP therapy with twice a day, 30 min every time, for consecutive 5 to 7 days. Results All of 30 patients were cured after proper treatment of the poor healing incisions. The curative effect of treatment group was significant better than that of control group with the total efficiency rate up to 93.33%. The incision fat liquefaction rate was low and the treatment time and the frequency of dressing were significantly shortened. Conclusion Preoperative prevention can reduce the rate of postoperative poor healing and incision liquefaction. The curative effect of the application of microwave irradiation combined with external application of rivanol injection in the treatment of poor healing of abdominal operation incision and the prevention of incision liquefaction is significant, which is worthy of clinical application.