减张疏散缝合法预防切口脂肪液化(附158例)分析

Method of Evacuated Suture of Reducing Tension to Prevent Incision Fat Necrosis

目的 探讨预防术后切口脂肪液化的方法。方法 术中采用减张疏散缝合方法处理 15 8例。结果 治疗组 15 8例 ,其中腰部切口 62例 ,肋弓下切口 5例 ,下腹部正中切口 91例。 15 8例中切口脂肪液化 4例 ,切口感染 3例 ,其他均Ⅰ期愈合。对照组 97例中切口脂肪液化 18例 ,切口感染 4例 ,其他均Ⅰ期愈合。χ2 =19 5 79,P <0 0 0 5。结论 应用减张疏散缝合法预防切口脂肪液化效果令人满意 。

Objective To discuss the effect of preventing postoperative incision fat necrosis by the method of evacuated suture of reducing tension. Methods The method of evacuated suture of reducing tension was used in 158 cases. Age of them was 22～83 years old,mean 52 years old. There were thick fat tissues in the sub-skin of all patients.The fat average thickness was from 4 0～8 0cm.Results The treatment group had 158 cases, of which, lumbar incision had 62 cases, subcostal incision had 5 cases and hypogastric median incision had 91 cases. Among 158 cases,there were 4 cases of incision fat necrosis, 3 cases of incision infection and the others were one-stage healing.The control group had 97 cases. Among them, there were 18 cases of fat necrosis, 4 cases of incision infection and the others are one-stage healing. Conclusions Method of evacuated suture of reducing tension to prevent incision fat necrosis has satisfactory efficacy and worth of clinical popularization and application.