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目的探讨3种切口缝合前处理方式对具有感染高危因素剖宫产手术切口愈合的影响。方法回顾性分析2005年1月-2009年12月在医院行剖宫产手术中具有切口感染高危因素的病例资料共603例,按皮肤切口缝合前不同处理方式分为3组,A组:切口常规缝合组(221例),B组:切口放置皮片引流组(197例),C组:切口放置负压引流管组(185例);观察3组术后出现切口感染情况,应用统计学方法比较3组之间的差异。结果 A组切口感染24例,术后感染率10.86%,B组切口感染13例,术后感染率6.60%,C组切口感染3例,术后感染率1.62%;3组术后切口感染率两两比较,差异有统计学意义(P<0.05)。结论切口放置负压引流管能预防具有感染高危因素的剖宫产术后切口感染,疗效满意,能显著降低切口感染率。
Objective To investigate the effect of three kinds of incision suture treatment on healing of cesarean section incision with high risk of infection. Methods A retrospective analysis of 603 cases of cesarean section in hospital from January 2005 to December 2009 with high risk factors for incisional infection was divided into 3 groups according to different treatments before skin incision suture: (221 cases), group B (197 cases) underwent skin grafting with incision, and group C (185 cases) underwent negative pressure drainage tube incision. The incision infection was observed in 3 groups Methods The differences between the three groups were compared. Results In group A, 24 cases were incisional infection, the postoperative infection rate was 10.86%. In group B, 13 cases were infected with incision infection, the infection rate was 6.60%. The infection rate was 1.62% in group C. The postoperative infection rate was 3.62% There was a statistically significant difference between every two groups (P <0.05). Conclusion The placement of negative pressure drainage tube can prevent incision infection after caesarean section with high risk of infection, with satisfactory curative effect and significantly reduce the incision infection rate.