Clinical analysis of the abdominal wound undesirable healing in 58 cases
- VernacularTitle:腹部手术切口愈合不良58例临床分析
- Author:
Yuebo YANG
;
Huimin SHEN
;
Taohua WENG
;
Xiaomao LI
;
Hong TANG
- Publication Type:Journal Article
- Keywords:
Abdominal wound;
Wound heal-up;
Hihg-risk factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(2):226-227
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the high-risk factors of the abdominal wound undesirable healing in gynecologic operations and its prevention and treatment.Methods A retrospective clinical study reviewed 58 cases in gynecologic operations.To investigate and analyze its frequent clinical risk factors.Results The risk factors in these wound healing defect such as the fat liquefied:3 cases(48.3%),the anaemia and/or hypoproteinemia:13 cases(22.4%);combined with diabetes:3 cases(5.2%),hypertension:6 cases(10.3%),wound infection:2 cases(3.5%)and wound hematoma:1 case(1.7%);two high risk factors coexisted:22 cases(37.9%),three or more risk factors coexisted:11 cases(19.0%).The complication of such wound healing defect such as effusion:26 cases(44.8%),flare and induration:28 cases(48.3%),low-grade fever:5 cases(8.6%).Conclusion The fat liquefaction is the important reason of the wound dehiscence in gynecology operations;the effusion,flare or induration is the precipitation of the wound healing defect.If we can treat these high-risk groups positively,we will improve the clinical prognosis.