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目的探讨妇产科出现的腹部手术后切口脂肪发生液化的原因、治疗措施和预防。方法对我院2010年1月~2014年12月收治行妇产科手术28例切口发生脂肪液化患者进行回顾性研究和系统性分析。结果全部28例患者经过系统治疗后,切口脂肪液化患者均痊愈出院。结论腹部切口脂肪液化发生的原因复杂多样,主要与患者是否肥胖、使用电刀是否合理,术中是否粗暴,术中的缝合技巧有着重要关系。对于切口脂肪液化病例应遵循尽早发现,尽早处理,合理处置的原则。通过对高危因素进行合理的预防及发病后及时有效地处理,可以明显降低疾病发生率,促进切口愈合。
Objective To investigate the causes, treatment and prevention of incision fat liquefaction after abdominal surgery in obstetrics and gynecology department. Methods A retrospective study and systematic analysis of 28 patients with fat-induced liquefaction underwent gynecological surgery in our hospital from January 2010 to December 2014 were retrospectively studied. Results All 28 patients underwent systemic treatment and the patients with incision fat liquefaction were cured and discharged. Conclusions The causes of fat liquefaction in abdominal incision are complicated and varied, mainly related to whether the patients are obese, the use of electric knife is reasonable, the intraoperative rudeness, and the intraoperative suturing skills are important. For incision fat liquefaction cases should follow the early detection, treatment as soon as possible, the principle of reasonable disposal. By reasonably preventing the risk factors and dealing with the disease promptly and effectively, the incidence of diseases can be significantly reduced and the incision healing can be promoted.