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目的探讨不同负压引流强度下宫颈癌患者手术切口愈合情况。方法选取2013年1月至2016年6月间四川省会东县人民医院收治的84例宫颈癌患者,采用随机数表法分为零负压组、低负压组和高负压组,每组28例。所有患者切口均给予自然对合处理,并给予不同强度的负压引流,观察三组患者的伤口愈合情况,比较三组患者的切口脂肪液化情况、切口感染情况、拆线时间、换药次数和住院时间等。结果零负压组患者切口脂肪液化3例,低负压组1例,高负压组0例,三组比较,差异有统计学意义(P<0.05)。零负压组患者甲级愈合21例,乙级愈合5例,切口感染2例;低负压组甲级愈合26例,乙级愈合2例,无切口感染患者;高负压组甲级愈合27例,乙级愈合1例,无切口感染患者。三组比较,差异均有统计学意义(均P<0.05)。三组患者平均拆线时间比较,差异有统计学意义(P<0.05)。三组患者平均换药次数和平均住院时间比较,差异无统计学意义(P>0.05)。结论施加负压引流可促进宫颈癌患者术后切口愈合,适于临床应用。
Objective To investigate the surgical incision healing of patients with cervical cancer under different negative pressure drainage intensity. Methods Eighty-four patients with cervical cancer who were admitted to Huidong County People’s Hospital of Sichuan Province from January 2013 to June 2016 were divided into zero negative pressure group, low negative pressure group and high negative pressure group by random number table, and each group 28 cases. All patients were given natural incision treatment, and given different intensity of negative pressure drainage, wound healing observed in three groups of patients, the comparison of three groups of patients with fat liquefaction incision, incision infection, stitches time, dressing number and Hospitalization time and so on. Results There were 3 cases of fat liquefaction incision, 1 case of low negative pressure group and 0 case of high negative pressure group. There was significant difference between the three groups (P <0.05). There were 21 cases of grade A healing in zero negative pressure group, 5 cases of grade B healed and 2 cases of incision infection, 26 cases of grade A healed in low negative pressure group, 2 cases of grade B healed and no incision infection, 27 cases, B healed in 1 case, no incision infection in patients. The differences between the three groups were statistically significant (all P <0.05). Three groups of patients on average stitches time comparison, the difference was statistically significant (P <0.05). There was no significant difference between the average number of dressing changes and the average length of stay in the three groups (P> 0.05). Conclusion Negative pressure drainage can promote the incision healing of cervical cancer patients and is suitable for clinical application.