微波治疗妇产科腹部手术切口液化的临床效果

伍玉春

[摘要] 目的 探讨妇产科腹部手术切口液化的临床诊断及治疗，并研究切口液化的原因。 方法 以2009年7月～2013年7月来院行腹部手术后出现切口液化的66例患者为研究对象，将其随机分为观察组和对照组进行治疗，每组各33例。观察组患者采用微波法治疗，对照组患者采用常规法治疗。比较观察组和对照组患者在切口愈合时间及临床疗效方面的差异。 结果 两组患者的平均年龄、手术方式、合并疾病方面差异无统计学意义（P>0.05）；观察组患者的切口愈合时间较短，治疗结果为治愈和有效的例数较多，总有效率较高，差异有统计学意义（P<0.05）。 结论 合并有糖尿病、肥胖、贫血、妊娠水肿等基础性疾病的腹部手术患者发生切口液化的风险较高，微波治疗切口液化的效果较好，可促进切口早期愈合。

[关键词] 腹部手术；切口液化；妇产科

[中图分类号] R713.4[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0187-02

The clinical effect of microwave treatment in the gynecological abdominal operation incision liquefaction

WU Yu-chun

Obstetrics and Gynecology Department,Nankang Xinhua Hospital of Nankang City in Jiangxi Province,Nankang 341400,China

[Abstract] Objective To investigate the clinical diagnosis and treatment of gynecological abdominal operation incision liquefaction,and study the reason incision liquefaction. Methods 66 patients for abdominal operation incision after liquefaction as the research object in our hospital from July 2009 to July 2013.They were randomly divided into the observation group and control group,33 patients in each group.The observation group patients were treated by microwave therapy,the control group patients were treated by routine therapy.The differences in clinical efficacy of wound healing time between the observation group and control group were compared. Results The two patients of the mean age,operation mode,and different diseases had no statistical significance (P>0.05),the observation group patients wound healing time was shorter,the cure and effective treatment for the patients with large number,high efficiency,the above index difference had statistical significance (P<0.05). Conclusion Abdominal operation patients complicated with diabetes,obesity,anemia,edema of pregnancy and other basic diseases incision liquefaction risk is higher,but the microwave treatment of incision liquefaction effect is good,and can promote early healing of incision.

[Key words] Abdominal operation;Incision liquefaction;Obstetrics and gynecology department

为探究妇产科腹部手术切口液化的致病机制、诊断以及治疗，以便更好地对此病进行防治，本研究以2009年7月～2013年7月来院行腹部手术后出现切口液化的66例患者为研究对象，对妇产科腹部手术切口液化的诊断、治疗过程展开研究，以探讨手术切口液化的致病机制和预防措施，并将接受微波疗法治疗的切口液化患者的临床效果与接受常规方法治疗的患者的效果进行对比，以探索更有效的治疗方法。

1 资料与方法

1.1 一般资料

选取来院进行腹部手术后出现切口液化的66例患者为研究对象，将其随机分为观察组和对照组，每组各33例。观察组患者年龄25～56岁，平均（39.15±3.45）岁；其中有剖宫产手术15例，子宫肌瘤切除手术12例，子宫切除术6例；合并糖尿病9例，合并肥胖26例，合并贫血4例，合并妊娠水肿8例。对照……