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目的探讨切口皮片引流联合特定电磁波治疗器(TDP)照射预防剖宫产术后切口脂肪液化的疗效。方法有潜在切口脂肪液化高危因素的剖宫产产妇62例,随机分为观察组32例,对照组30例。观察组在剖宫产术中皮下脂肪层放置皮片引流,对照组不放置皮片引流。术后均用TDP照射切口。观察2组切口脂肪液化发生率、切口愈合时间及平均住院时间。结果观察组无1例发生脂肪液化,切口均甲级愈合;对照组有6例(20%)发生脂肪液化,脂肪液化切口行二期缝合。观察组与对照组切口愈合时间分别为(7.8±1.6)、(18.7±3.3)d,平均住院时间分别为(9.0±1.7)、(21.5±3.4)d,差异均有统计学意义(P均<0.05)。结论剖宫产术中皮下脂肪层皮片引流联合术后TDP照射切口,可有效预防切口脂肪液化,促进切口愈合,缩短住院时间。
Objective To investigate the effect of incisional skin flap drainage combined with specific electromagnetic wave (TDP) irradiation in preventing incision fat liquefaction after cesarean section. Methods Sixty-two cesarean section women with potentially fat-induced liquefaction risk factors were randomly divided into observation group (n = 32) and control group (n = 30). In the observation group, the dermal drainage was placed on the subcutaneous fat layer during cesarean section, while the control group was not placed on the percutaneous drainage. TDP irradiation after incision. The incidence of fat liquefaction, incision healing and average length of stay in two groups were observed. Results In the observation group, no liquefaction occurred in 1 case, and the incisions were grade A healed. In the control group, 6 cases (20%) developed liquefaction and fat liquefied incision were sutured in two stages. The healing time of the incision in the observation group and the control group were (7.8 ± 1.6) and (18.7 ± 3.3) days, respectively, and the average length of hospital stay was (9.0 ± 1.7) and (21.5 ± 3.4) days, respectively <0.05). Conclusion In cesarean section, subcutaneous fat layer skin drainage combined with postoperative TDP irradiation can effectively prevent incision fat liquefaction, promote incision healing and shorten hospitalization time.