妇科腹部纵切口皮下预放置负压引流管对术后切口愈合情况的影响研究  

Study on the effect of pre-placement of subcutaneous negative pressure drainage tube on postoperative wound healing of gynecological longitudinal abdominal incision

作　　者：张艳[1] 荆玉洁[1] 姜玉净 ZHANG Yan;JING Yu-jie;JIANG Yu-jing(Jilin People's Hospital,Jilin 132001,China)

机构地区：[1]吉林市人民医院,132001

出　　处：《中国实用医药》2025年第2期45-47,共3页China Practical Medicine

摘　　要：目的研究妇科腹部纵切口皮下预放置负压引流管对术后切口愈合情况的影响。方法回顾性分析行妇科下腹部纵切口手术的398例患者的临床资料,随机分为研究组(212例)和对照组(186例)。对照组术中常规缝合腹膜及腹直肌前鞘后,不缝合皮下脂肪,可吸收线连续皮内缝合皮肤,术后在切口两侧给予纸卷适当加压后腹带包扎5 d;研究组在对照组处置的基础上采取皮下筋膜上预放置负压引流管1枚,根据引流液的形状和多少,术后3~6 d内拔除负压引流管。比较两组患者术后切口愈合情况。结果研究组患者术后切口甲级愈合192例、切口甲级愈合率为90.57%,切口愈合不良20例、切口愈合不良率为9.43%;对照组患者术后切口甲级愈合130例、切口甲级愈合率为69.89%,切口愈合不良56例、切口愈合不良率为30.11%;研究组患者术后切口甲级愈合率高于对照组,切口愈合不良率低于对照组,差异有统计学意义(P<0.05)。结论妇科腹部纵切口皮下预放置负压引流管持续负压引流可以明显降低切口愈合不良率,是一种安全、简便、有效的促进切口愈合的新措施,值得临床上推广应用。Objective To study the effect of pre-placement of subcutaneous negative pressure drainage tube on postoperative wound healing of gynecological longitudinal abdominal incision.Methods The clinical data of 398 patients who underwent gynecological lower longitudinal abdominal incision surgery were retrospectively analyzed,and randomly divided into a study group(212 cases)and a control group(186 cases).The control group underwent routine intraoperative suturing of the peritoneum and anterior sheath of the rectus abdominis,without suturing the subcutaneous fat,and continuous intradermal suturing of the skin with absorbable sutures;postoperatively,the incision was bandaged with a belly band after applying appropriate pressure with paper rolls on both sides of the incision for 5 d.The study group had a negative pressure drainage tube pre-placed above the subcutaneous fascia based on the control group's treatment;the negative pressure drainage tube was removed within 3-6 d postoperatively,depending on the shape and amount of drainage fluid.The postoperative wound healing of the two groups was compared.Results In the study group,there were 192 cases of grade A healing,the grade A healing rate was 90.57%;20 cases of poor healing,the poor healing rate was 9.43%.In the control group,there were 130 cases of grade A healing,the grade A healing rate was 69.89%;56 cases of poor healing,the poor healing rate was 30.11%.The grade A healing rate of the study group was higher than that of the control group,and the poor healing rate was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion The pre-placement of subcutaneous negative pressure drainage tubes in gynecological longitudinal abdominal incision can significantly reduce the rate of poor healing.It is a safe,simple,and effective new measure to promote incision healing and is worth promoting in clinical practice.

关 键 词：负压引流管 妇科腹部纵切口 术后切口愈合 愈合不良 脂肪液化 

分 类 号：R713[医药卫生—妇产科学]