B超引导下穿刺治疗剖宫产术后子宫切口感染的疗效分析  

Efficacy of B ultrasound-guided puncture in treating cesarean incision infection

作　　者：陈小琴[1] 窦晓青 

机构地区：[1]杭州市职业病防治院特检科,杭州310014 [2]浙江省中医药大学附属第一医院妇产科,杭州310000

出　　处：《中国性科学》2017年第5期130-132,共3页Chinese Journal of Human Sexuality

基　　金：浙江省医药卫生科技计划项目一般项目(2015KYA168)

摘　　要：目的:探讨剖宫产术后子宫切口感染患者采用B超引导下穿刺进行治疗的疗效,为临床有效治疗术后切口感染提供依据。方法:选择2013年8月至2015年8月在医院进行剖宫产,并且术后发生切口感染的产妇共56例。试验组产妇选择B超引导下穿刺手段进行治疗,对照组产妇常规治疗。结果:试验组产妇中无效及总有效情况分别为2例(7.14%)、26例(92.86%),对照组产妇中无效及总有效情况分别为7例(25.00%)、21例(75.00%),试验组产妇中总有效率比对照组高,其差异有统计学意义(P<0.05)。试验组产妇中拆线时间、体温高峰及住院时间平均值分别为(7.02±0.71)d、(36.63±0.28)℃、(4.01±2.93)d,对照组产妇中拆线时间、体温高峰及住院时间平均值分别为(9.82±0.93)d、(37.72±0.69)℃、(9.53±1.49)d,差异均有统计学意义(P<0.05)。试验组产妇中硬结及红肿渗液情况分别为2例(7.14%)、6例(21.43%),试验组产妇中硬结及红肿渗液情况分别为12例(42.86%)、23例(82.14%),差异均有统计学意义(P<0.05)。结论:诱发剖宫产患者术后出现切口感染的临床危险因素多种多样,临床上采用B超引导下穿刺技术进行治疗时,可使产妇切口感染情况得到显著改善,有利于产妇的康复,在临床上值得重视。Objectives： To investigate the treatment efficacy of B ultrasound-guided puncture in treating cesarean incision infection in order to provide basis for its clinical treatment. Methods： 56 puerperae with cesarean incision infection from August 2013 to August 2015 were selected and divided into experimental group and control group. The experimental group received B ultrasound-guided puncture while the control group received conventional treatment. Results： There were 2 cases（ 7. 14%） invalid and 26 cases（ 92. 86%） valid in the experimental group,while there were 7 cases（ 25. 00%） invalid and 21 cases（ 75. 00%） valid in the control group,with statistically significant difference（ P〈0. 05）. In the experimental group,the stitches time,temperature peak and average hospital stay was（ 7. 02 ± 0. 71） days,（ 36. 63 ± 0. 28） ℃ and（ 4. 01 ± 2. 93） days respectively,while these in the control group were（ 9. 82 ± 0. 93） days,（ 37. 72 ± 0. 69） ℃ and（ 9. 53 ± 1. 49） days respectively,with statistically significant difference（ P〈0. 05）. There were 2 cases（ 7. 14%） of juicing induration and 6 cases（ 21. 43%）of swelling in the experimental group,while those in the control group were 12 cases（ 42. 86%） and 23 cases（ 82. 14%） respectively,with statistically significant difference（ P〈0. 05）. Conclusion： Clinical risk factors for cesarean incision infection are many,and B ultrasound-guided puncture is of remarkable effect in treating the infection,which should be give more attention to in clinical.

关 键 词：剖宫产 B超引导下穿刺 子宫切口感染 临床疗效 

分 类 号：R719.8[医药卫生—妇产科学]