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目的观察二期切口缝合负压引流管放置在妇产科腹壁切口脂肪液化患者中的应用效果。方法选取2011年3月—2015年8月收治的腹壁刀口脂肪液化需二期缝合的妇科患者76例,随机分为观察组37例、对照组39例。观察组二期缝合时放置负压引流管,对照组采用传统二期切口缝合法。观察两组行二期切口缝合时间、术后住院时间及拆线时间、切口愈合的情况。计量资料比较采用t检验。P<0.05为差异有统计学意义。结果两组术后均愈合良好。观察组术后第1天引流量为25~30 ml,术后第3天引流量5~10 ml,第5~6天引流管中无液体引出。观察组缝合时间、术后住院时间、拆线时间[(15.8±3.9)、(8.9±1.7)、(9.6±1.8)d]与对照组[(27.8±4.8)、(11.7±2.3)、(14.1±2.1)d]比较差异均有统计学意义(均P<0.05)。结论妇产科腹壁切口脂肪液化患者二期切口缝合手术时表面放置负压引流管可缩短切口缝合时间及住院时间。
Objective To observe the application effect of the second stage incision suture negative pressure drainage tube placed in the fat liquefaction patients in obstetrics and gynecology abdominal incision. Methods Seventy-six gynecologic patients with second-stage suturing of fat in the abdominal wall treated by abdominal fat in March 2011-August 2015 were randomly divided into observation group (37 cases) and control group (39 cases). The second phase of the observation group placed negative pressure drainage tube, the control group using the traditional two incision suture method. Observe the two groups of two incision suture time, postoperative hospital stay and stitches time, incision healing. Measurement data using t test. P <0.05 for the difference was statistically significant. Results Both groups healed well after operation. The drainage volume of the observation group was 25-30 ml on the first postoperative day, and the volume of drainage was 5-10 ml on the third day after operation. No fluid was taken out on the fifth to sixth days in the observation group. The duration of postoperative hospital stay, suture removal time in the observation group [(15.8 ± 3.9), (8.9 ± 1.7), (9.6 ± 1.8) d] and control group [(27.8 ± 4.8), (11.7 ± 2.3) 14.1 ± 2.1) d] were statistically significant (all P <0.05). Conclusion Obstetrics and Gynecology abdominal incision fat liquefaction patients with second-stage incision suture surface suction drainage tube can shorten the incision suture time and hospitalization time.