负压封闭引流技术治疗剖宫产术后切口愈合不良41例的分析

目的：探讨负压封闭引流技术在剖宫产术后切口愈合不良中的应用及疗效。方法：剖宫产术后切口愈合不良41例，其中脂肪液化35例，切口感染7例，应用负压封闭引流装置治疗3～7天后再行局部换药或二次手术缝合。结果：负压封闭引流治疗时间平均为4．15＋1．24天，之后采取换药治疗者15例，平均愈合时间14．6±3136天；采取二次手术缝合者26例，伤口均一期愈合。结论：负压封闭引流治疗剖宫产术后切口愈合不良，可明显促进肉芽组织生长，缩短创面愈合时间，同时为二次手术缝合创造条件。

The Analysis of the Vacuum Sealing Drainage in Dealing with Delayed Wound Healing after Cesarean Section.

Objective： To investigate the clinical outcome and the application of vacuum sealing drainage （VSD） in dealing with delayed wound healing after cesarean section. Methods： 41 cases of delayed wound healing after cesarean section were involved, including 35 cases fat liquefaction of incision and 7 cases of wound infection. Firstly, the VSD was used on the wound. Then, the wound was treated by dressing change or secondary suture according to the condition of wound after VSD had been removed. Results： The average time of VSD on the wound was 4.15＋ 1.24 days. 15 cases were treated by dressing change after the therapy of VSD and the average time of wound healing was 14.6＋ 3.36 days. 26 cases were treated by secondary suture and the wounds were all primary healing in 7 days. Conclusion： For the delayed wound healing after cesarean section, the application of VSD could significantly enhance the proliferation of granulation tissue, shorten the time of wound healing, and provide good condition for secondary suture.