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目的探索分析皮下脂肪不缝合在妇产科下腹部横切口分层撕开法中的应用效果。方法 500例下腹部横切口手术患者随机分为观察组和对照组,每组250例。观察组给予分层撕开法开腹以及皮下脂肪不缝合,对照组给予常规分层开腹后缝合皮下脂肪,两组均最后应用可吸收线进行皮内连续缝合。将两组患者的临床效果进行对比。结果观察组的住院时间、术中出血量、术后排气时间以及住院费用均显著少于对照组(P<0.05)。观察组甲级愈合率为97.60%,显著高于对照组的91.20%,差异有统计学意义(P<0.05),观察组的脂肪液化、伤口感染、术后硬结、术后疼痛发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论皮下脂肪不缝合应用于妇产科下腹部横切口分层撕开法手术过程中,临床效果显著,能够促进手术切口尽快愈合,住院时间短,费用低廉,具有极大的推广应用价值。
Objective To explore the application effect of subcutaneous fat not sutured in laparotomy of transverse abdominal incision in obstetrics and gynecology. Methods 500 cases of lower abdominal transverse incision surgery were randomly divided into observation group and control group, 250 cases in each group. The observation group was given lacrimal tear method laparotomy and subcutaneous fat not sutured, the control group was given conventional stratified laparotomy subcutaneous fat, the two groups were the last application of absorbable intradermal suture. The clinical effects of the two groups were compared. Results In the observation group, hospitalization time, intraoperative blood loss, postoperative exhaust time and hospitalization expenses were significantly less than those in the control group (P <0.05). The healing rate of grade A in observation group was 97.60%, which was significantly higher than 91.20% in control group (P <0.05). The liquefaction rate, wound infection, postoperative induration and incidence of postoperative pain in observation group were all significant Lower than the control group, the difference was statistically significant (P <0.05). Conclusion The application of subcutaneous fat without suture in the transverse incision and laparotomy of lower abdomen in obstetrics and gynecology is of great clinical effect, which can promote the healing of incision as soon as possible, short hospital stay and low cost, and has great promotion and application value.