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目的观察腹壁皮下引流条对促进剖宫产切口愈合的效果。方法选取2012年2月至2012年8月天津市中心医院产科剖宫产手术者中存在肥胖或瘢痕子宫者50例作为观察组,观察组术中放置腹壁皮下引流条;2012年1月以前产科剖宫产手术者中存在肥胖或瘢痕子宫者50例作为对照组。对照组常规缝合腹壁切口。比较两组切口愈合率、住院天数及发热率。结果观察组术后4 d切口愈合率高于对照组,差异有统计学意义(P<0.05);住院天数、发热率比较差异无统计学意义(P>0.05)。结论对肥胖或瘢痕子宫者采取放置腹壁皮下引流条是促进其切口愈合简便易行的方法,值得临床推广应用。
Objective To observe the effect of abdominal subcutaneous drainage strips on promoting healing of cesarean section incision. Methods 50 patients with obesity or scar uterus in obstetric cesarean section in Central Hospital of Tianjin from February 2012 to August 2012 were selected as the observation group. The abdominal subcutaneous drainage strips were placed in the observation group during the operation from January 2012 to August 2012. 50 cases of cesarean operation in obese or scarring uterus as a control group. Control group conventional incision abdominal wall. The incision healing rate, hospitalization days and fever rate were compared between the two groups. Results The wound healing rate of observation group 4 days after operation was significantly higher than that of control group (P <0.05). There was no significant difference in days of hospitalization and fever between two groups (P> 0.05). Conclusion It is an easy and feasible method to promote the incision healing of fat or scar uterine by placing the subcutaneous drainage line in the abdominal wall, which is worthy of clinical application.