髋关节置换术后切口脂肪液化临床观察

The Clinical Observation on Fat Liquement of Operation Incisions After Hip Replacements

采用Smith Peterson手术切口入路行髋关节置换术.结果表明:43例中有10例出现不同程度的切口脂肪液化,其中1例并发严重浅层感染、皮肤坏死,愈后并发严重的瘢痕挛缩,其他9例经处理后切口延期愈合.术中使用高频电刀、过多的机械损伤及术后并发感染为切口脂肪液化的主要原因.

Operation incisions by the way of Smith-Peterson were used in hip replacements.The results showed that 10 out of the 43 cases were found fat liquefaction in those incisions.One of them was followed with severe infection under the skin,its part of destroying and severe contraction of skin after the operation.Nine of them had later term of curing incisions after treatment.The important reasons on fat liquefaction in operation incision were using electric knives with high frequency in operating,being excessively injured automatically and being followed with fat liquement in incisions after operating.