摘要
目的探讨影响普通外科手术切口愈合的因素、相关处理方法以及防治措施。方法随机抽调1990年6月～2010年6月2035例笔者所在医院收治的普通外科手术患者的临床资料,并对其进行综合分析,以了解切口愈合不良发生率、导致因素、治疗方法以及相应结果。结果 2035例患者中有手术切口愈合不良者65例,发生率为3.19%(65/2035);其中切口感染25例,占38.46%(25/65);脂肪液化33例,占50.77%(33/65);裂开7例,占10.77%(7/65)。影响因素包括患者年龄大、有基础疾病、急诊手术、备皮至手术时间长、切口偏大或术中延长切口、缝合切口的医师缝合技术差以及手术时间较长等。经过治疗之后均愈合,在术后随访中有2例形成切口疝,未发现瘘道形成。结论外科手术的切口愈合不良是多种因素综合造成的,但是通过及时的、有针对性的治疗都可以顺利愈合。
Objective To investigate the impact of general surgical wound healing factors, related to treatment and control measures. Methods Deployed from June 1990 to June 2010 2035 cases admitted to our hospital general surgery clinical data,and its statistical analysis ,to understand the incidence of wound healing ,leading factors, treatment methods and the corresponding results. Results 2035 patients have poor wound healing, 65 patients, the incidence rate of 3.19% （65/2035） ;one wound infection in 25 cases, 38.46% （25/65） ;fat liquefaction of 33 cases,50.77 % （33/65） ; split 7 cases, 10. 77 % （7/65）. Factors ： patient age, and have underlying diseases, emergency surgery, skin preparation to operatior/time,intraoperative incision is too large or extended incision, suture the incision suture technique is poor and surgical physicians a longer time. After healed after treatment in the postoperative follow - up in two cases of incisional hernia formation, fistula formation was not found. Conclusion The surgical wound healing is caused by many factors,but through timely,targeted therapy can be healed.
出处
《中外医学研究》
2012年第4期107-108,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
