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目的研究妇科腹部切口脂肪液化的诊断和治疗方法。方法回顾性分析2000年10月～2010年10月在我院进行妇科腹部手术术后并发切口脂肪液化患者86例。观察所有患者的临床症状,并根据渗液量多少进行对症治疗。观察治疗前后患者的生活质量。结果 86例妇科腹部切口脂肪液化的患者经上述对症治疗后,均痊愈出院。与治疗前相比,治疗后患者的生活质量发生了一定的改善。结论导致妇科腹部切口脂肪液化的原因有肥胖患者皮下脂肪层厚、脂肪含量多,应用高频电刀使用不当、切口术中暴露时间过长,切口止血不彻底导致皮下积液,以及合并贫血、糖尿病、咳嗽等疾病,早期诊断及充分引流是治疗的关键。
Objective To study the diagnosis and treatment of fat liquefaction in gynecological abdominal incision. Methods A retrospective analysis of 86 patients with incision fat liquefaction occurred in our hospital from October 2000 to October 2010 after gynecological abdominal surgery. Observe the clinical symptoms of all patients, and according to the amount of exudate symptomatic treatment. Observed before and after treatment of patients with quality of life. Results 86 cases of gynecological abdominal incision fat liquefaction patients after the symptomatic treatment, were cured and discharged. Compared with before treatment, the quality of life of patients after treatment has undergone some improvement. Conclusions The causes of fat liquefaction in gynecological abdominal incision are obesity patients with subcutaneous fat layer thickness and fat content, the use of high frequency electric knife improper use, incision exposure time is too long, incision hemostasis is not completely lead to subcutaneous fluid, and anemia, Diabetes, cough and other diseases, early diagnosis and full drainage is the key to treatment.