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1、腹部胰腺损伤手术切口脂肪液化的诊治分析包士洪(乐清市第五人民医院浙江乐清325615)【摘要】目的：研究腹部胰腺损伤手术切口脂肪液化的临床治疗分析。方法：收集我院从2005年7月至2009年11月收治的腹部胰腺损伤患者42例，采用随机数字表法将42例腹部胰腺损伤患者分为观察组(21例)和对照组(21例)，对应随机数字为偶数者为观察组，奇数者为对照组。对照组采取传统方法治疗，观察组采取切口置管持续负压吸引治疗，观察对比两组患者的切口愈合等级，切口愈合时间、患者住院时间。结果：观察组甲级切口的愈合率为
2、61.90%,对照组的甲级切口愈合率为28.57%,观察组比对照组愈合情况更好，差异具有统计学意义(P<0.05)；观察组的切口愈合时间、患者住院时间明显短于对照组，差异具有统计学意义(P<0.05)o结论：切口置管持续负压吸引技术在腹部胰腺损伤手术腹部切口脂肪液化具有一定的积极指导意义，能促进切口肉芽组织的牛长，大大减轻患者的痛苦，值得在临床上进一步推广应用。【关键词】腹部；胰腺损伤；手术切口；脂肪液化；诊治分析【中图分类号】R576【文献标识码】B【文章编号】1004-6194(2
3、015)01-0199-02Analysisofabdominaloperationincisionfatliquefactionofthediagnosisandtreatmentofpancreaticinjury[Abstract]Objective:analysisofpancreaticinjuryinabdominaloperationincisionfatliquefactionofclinicaltreatment.Methods:collectedinourhospitalfro
4、m2005Julyto200942patientstreatedinNovember,abdominalinjuryofpancreas,randomly42casesofpatientswithabdominalinjuryofpancreasaredividedintoobservationgroup(21cases)andcontrolgroup(21cases),thecorrespondingrandomnumberisevennumberastheobservationgroup,th
5、eoddnumberascontrolgroup・Thecontrolgroupusedthetraditionalmethodoftreatment,theobservationgroupadoptedincisioncatheterpersistentnegativepressuresuctiontreatmentlevelhealingwasobservedandcomparedtwogroupsofpatientswithincision,incisionhealingtime,hospi
6、talizationtime.Results:thegroupofgradeaincisionhealingratewas61.90%,thecontrolclassincisionhealingratewas28.57%,theobservationgroupthaninthecontrolgrouphealedbetter,withsignificantdifferenee(P<0.05);observationgroup,incisionhealingtime,hospitalizat
7、iontimewassignificantlyshorterthanthecontrolgroup,withsignificantdifferenee(P<0.05).Conclusion:theincisioncatheterpersistentnegativepressuresuctiontechniqueinabdominalinjuryofpancreassurgeryabdominalincisionfatliquefactionhascertainpositivesign讦ica
8、nce,canpromotewoundgranulationtissuegrowth,greatlyreducethesufferingofpatients,isworthyoffurtherpromotionandapplicationinclinicalpractice.［keyword］abdomen;pancreaticinjury;surgicalincision;fatliquefaction;diagnosisanalysis腹部手术创口愈合过程中切口脂肪液化是一种较
