大肠癌腹部切口脂肪液化的原因及治疗分析

Analysis of Causes and Treatment on Fat Liquefaction in Abdominal Incision of Colorectal Cancer

为探讨大肠癌患者开腹手术后切口发生脂肪液化的原因及治疗方法，对我科2012年1月至2015年7月收治的大肠癌经腹部手术后切口发生脂肪液化的16例患者临床资料进行回顾分析。结果显示，本组16例患者全部治愈（100％），1例患者进行Ⅱ期缝合；切口愈合时间为12-26d，平均17d。患者均在术后第5天停用抗生素，均未发生院内感染。患者均痊愈出院。结果表明，大肠癌术后切口脂肪液化与患者术前合并症（如糖尿病、贫血、低蛋白血症等）、免疫力低下、肥胖、术中电刀的使用、缝合技术及切口暴露时间长短有关，应从多方面防范及治疗切口皮下脂肪层液化。

In order to explore the method of cause and treatment of fat liquefaction of abdominal incision of the patients with colorectal cancer after laparotomy, the clinical data of 16 cases with fat liquefaction of in- cision after laparotomy for colorectal cancer from January 2012 to July 2015 in author＇s department were retrospectively analyzed.As results,all 16 patients in this group were cured （100%）,1 underwent Ⅱ stage suture;wound-surface healing time of 12-26 d（the averaged 17 d）.All the patients were stopped using anti- biotics on the 5th postoperative day, and no nosocomial infection was found. Patients were all cured and discharged.The results show that postoperative incisional fat liquefaction of colorectal cancer is related to preoperative complications （such as diabetes, anemia, hypoproteinemia, etc）, low immunity, obesity, the use of intraoperative electrosurgery use, suture technique and incision exposure time. It should be multi- faceted prevention and treatment of subcutaneous fat layer liquefaction of incision.