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±3.36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,includ-ing 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...