首页|脂肪层螺旋形缝合联合封闭式负压引流对妇科肿瘤患者腹部切口愈合的影响

脂肪层螺旋形缝合联合封闭式负压引流对妇科肿瘤患者腹部切口愈合的影响

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目的 研究脂肪层螺旋形缝合联合封闭式持续负压引流对妇科恶性肿瘤患者腹部切口愈合的作用.方法 回顾分析肥胖妇科肿瘤手术患者154 例.观察组66 例患者采用脂肪层螺旋形缝合联合持续封闭式负压引流法治疗,对照组88 采用单纯传统间断全层缝合或间断脂肪层缝合法;比较两组患者年龄、体重指数(BMI)、切口长度及切口愈合情况.结果 两组的年龄、体重指数(BMI)、合并症等一般情况比较无差异(P≥0.05),观察组甲级愈合率高于对照组,观察组的切口感染率、切口脂肪液化率及切口愈合时间均优于对照组,差异有统计学意义(P<0.05).结论 与传统缝合法相比,螺旋形缝合联合封闭式持续负压引流法有助于减少肥胖患者妇科手术患者切口脂肪液化,减少腹部切口感染、能缩短切口愈合时间,减少住院天数.
Study on the Effect of Spiral Suture of Fat Layer Combined with Closed Continuous Neg-ative Pressure Drainage on Reducing the Adverse Events of Abdominal Incision Healing in Patients with Gynecological Tumors
Objective To study the effect of spiral suture of the fat layer combined with closed continuous negative pres-sure drainage on the healing of abdominal incisions in patients with gynecological malignancies.Methods A retrospective analy-sis of 154 obese gynecological tumor surgery patients were conducted.66 patients in the experimental group were treated with spi-ral suture of the incision fat layer combined with continuous closed negative pressure drainage,and 88 in the control group were treated with traditional intermittent full-thickness suture or intermittent fat suture;the age,body mass index(BMI),Incision length and incision healing.Results There was no difference in general conditions such as age,body mass index(BMI),and comorbidi-ties between the 2 groups(P≥0.05).The grade A healing rate of the experimental group was higher than that of the control group.The incision infection rate,incision fat liquefaction rate and the incision healing time was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with the traditional suture method,the spiral suture combined with closed continuous negative pressure drainage method can help reduce the fat liquefaction of the incision in obese patients with gynecological surgery,reduce the infection of the abdominal incision,shorten the incision healing time,and re-duce the number of hospitalization days.

Spiral sutureClosed negative pressure drainageGynecologic OncologyIncision infectionFat liquefaction

李明梅、李玲、罗密娥、李隆玉、涂开家、程晓晓、雷钧

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330008 江西省妇幼保健院

331100 江西省上高县妇幼保健院

螺旋形缝合 封闭式负压引流 妇科肿瘤 切口感染 脂肪液化

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(2)
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