负压吸引球皮下埋植引流在预防剖宫产腹部切口脂肪液化中的应用  

Application of subcutaneous implantation with negative pressure absorbing ball in prevention of abdominal incision fat liquefaction after cesarean section

作　　者：程昌功 王革玲[1] 田瑜[1] 陈在敏 王燕[2] CHENG Chang-gong;WANG Ge-ling;TIAN Yu;CHEN Zai-min;WANG Yan(Department of Obstetrics and Gynecology,Jianghan Oilfield General Hospital,Qianjiang Hubei 433124,China;Department of Obstetrics and Gynecology,Maternity And Child Health Care Hospital of Hubei Province,Wuhan Hubei 430000,China)

机构地区：[1]江汉油田总医院妇产科,湖北潜江433124 [2]湖北省妇幼保健院妇产科,湖北武汉430000

出　　处：《局解手术学杂志》2019年第11期921-924,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：2017年度湖北省卫生计生委适宜技术推广项目(WJ2017S006)

摘　　要：目的探讨负压吸引球皮下埋植引流装置在预防剖宫产腹部切口脂肪液化中的应用效果。方法采用前瞻性研究,选取2017年1月至2018年6月于我院行剖宫产的83例产妇作为研究对象,按照随机数字表法将其分为对照组(n=41)与观察组(n=42),对照组术后常规缝合切口,观察组关腹前使用负压吸引球皮下埋植引流装置。对比2组产妇的切口并发症发生率、切口愈合等级占比,并统计2组关腹、拆线、住院以及切口愈合等各个指标所需时间。结果观察组术后腹部切口感染、裂开以及脂肪液化发生率分别为0、2.38%、4.76%,明显低于对照组的9.76%、12.20%、14.63%,差异有统计学意义(P<0.05);观察组术后切口甲、乙、丙级愈合率分别为97.62%、2.38%、0,而对照组分别为82.93%、17.07%、0,观察组的切口愈合情况明显优于对照组,差异有统计学意义(P<0.05);观察组关腹时间、拆线时间、住院时间以及切口愈合时间分别为(9.25±1.54)min、(8.36±1.41)d、(6.81±1.45)d、(11.26±1.34)d,明显短于对照组(28.63±4.16)min、(12.23±1.53)d、(10.95±1.86)d、(20.38±3.56)d,差异有统计学意义(P<0.05)。结论剖宫产产妇切口缝合前皮下埋植负压引流球装置可降低术后腹部切口脂肪液化、感染、裂开等并发症发生率,促进伤口愈合,缩短产妇住院时间。Objective To discuss the application effect of subcutaneous implantation with negative pressure absorbing ball in prevention of abdominal incision fat liquefaction after cesarean section.Methods A total of 83 puerpera with cesarean section in our hospital from January 2017 to June 2018 were selected and divided into control group(n=41)and observation group(n=42).The conventional suturing was performed in the control group,the subcutaneous implantation with negative pressure absorbing ball was performed in the observation group.The complication rate,wound healing grade as well as the time of closing the abdomen and taking out the suture,hospitalization time and incisional healing time were recorded and analyzed.Results The incidence rate of abdominal incision infection,wound dehiscence and fat liquefaction in the observation group were 0,2.38%,4.76%respectively,which were lower than those of control group(9.76%,12.20%,14.63%),the differences were significant(P<0.05).Grade Ⅰ,grade Ⅱ and grade Ⅲ of wound healing rate in the observation group(97.62%,2.38%,0)were better than those of control group(82.93%,17.07%,0),the differences were significant(P<0.05).The time of closing the abdomen and taking out the suture,hospitalization time and incisional healing time in the observation group were(9.25±1.54)minutes,(8.36±1.41)days,(6.81±1.45)days and(11.26±1.34)days respectively,which were shorter than those of control group[(28.63±4.16)minutes,(12.23±1.53)days,(10.95±1.86)days,(20.38±3.56)days],the differences were significant(P<0.05).Conclusion The subcutaneous implantation with negative pressure absorbing ball can reduce the incidence rate of fat liquefaction,wound infection and dehiscence,promote the wound healing and shorten the hospitalization time.

关 键 词：负压吸引球 皮下埋植 引流装置 剖宫产 腹部切口 脂肪液化 

分 类 号：R719[医药卫生—妇产科学]