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目的分析剖宫产术后腹壁切口愈合情况,探讨影响愈合的相关因素及处理,减少和预防切口脂肪液化发生率。方法本文对2006年3月至2016年3月962例剖宫手术后腹壁切口脂肪液化36例进行临床分析。结果腹壁切口脂肪化率为3.4%,与肥胖、缝合技术、术前合并症,前次剖宫产、术后咳嗽、羊水污染、其它(如各种机械刺激,止血不彻底,缝线选择及切口的选择)等有关,而与剖宫产时机、孕妇年龄、职业、孕周、胎儿大小无关。结论术前治疗合并症,术中操作轻柔、止血、缝合仔细,缝合脂肪层前生理盐水冲洗切口,两次剖宫产间隔≥3年,术后镇咳。可大大降低切口脂肪液化的发生率。
Objective To analyze the healing status of abdominal incision after cesarean section and discuss the related factors that affect the healing and to reduce the incidence of incision fat liquefaction. Methods From March 2006 to March 2016, 962 cases of cadaveric incision fat liquefaction after cesarean section were analyzed in 36 cases. Results The incision rate of abdominal incision was 3.4%, which was related to obesity, suturing technique, preoperative complications, previous cesarean section, postoperative cough, amniotic fluid contamination and others (such as various mechanical stimulation, incomplete hemostasis, Incision choice) and other related, but with the timing of cesarean section, pregnant women age, occupation, gestational age, fetal size has nothing to do. Conclusions Preoperative treatment of complications, intraoperative gentle operation, hemostasis, suture carefully, stitching the fat layer before the saline flush incision, two cesarean section interval ≥ 3 years, postoperative cough. Can greatly reduce the incidence of incision fat liquefaction.