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.