剖宫产术后伤口愈合不良的临床诊治体会  

Clinical diagnosis and treatment experience of poor incision healing of cesarean section

作　　者：杨鲜[1] 杜娟[1] Yang Xian;Du Juan(Hospital of Traditional Chinese Medicine and Western Medicine of Changping District,Beijing City,Bejing 102208)

机构地区：[1]北京市昌平区中西医结合医院,北京102208

出　　处：《中国社区医师》2021年第8期82-83,共2页Chinese Community Doctors

摘　　要：目的:探讨剖宫产术后伤口愈合不良的相关因素及处理方式。方法:2018年1-12月收治行剖宫产手术患者708例,对腹部伤口愈合情况进行统计分析,包括伤口愈合不良36例(病例组)与伤口甲级愈合672例(对照组)。分析影响伤口愈合的相关因素。结果:伤口愈合不良36例,发生率为5.08%;其中脂肪液化33例,伤口感染3例。病例组体重指数(BMI)≥28 kg/m^(2)、产程中手术、胎膜早破的比例均明显高于对照组,差异有统计学意义(P<0.05)。结论:脂肪液化是剖宫产术后伤口愈合不良的主要类型,注意对高危因素采取相应的预防措施,可减少伤口愈合不良的发生。Objective:To investigate the high-risk factors and treatment methods of poor incision healing after cesarean section.Methods:From January to December 2018,708 cases of parturients who underwent cesarean section were enrolled,the abdominal incision healing was statistically analyzed,included 36 cases of poor incision healing(case group)and 672 cases of grade A incision healing(control group).The related factors for incision infection in the patients with poor incision healing were further observed.Results:Totally 36(5.08%)cases had poor incision healing.Among them,33 cases were fat liquefaction,3 cases were incision infection.The proportion of BMI≥28 kg/m^(2),cesarean section during labor and premature rupture of membranes in the case group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The fat liquefaction is the major type of poor incision healing after cesarean section,we should take corresponding preventive measures for high-risk factors to reduce the incidence of poor incision healing.

关 键 词：剖宫产 伤口愈合不良 高危因素 

分 类 号：R719.8[医药卫生—妇产科学]