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目的探讨妇产科下腹部切口愈合不良的原因及治疗方法。方法回顾性分析两院2004年1月至2010年1月间共6298例妇科、产科下腹部手术病例,对70例腹部切口愈合不良患者的两种处理方法比较分析:对照组36例(为改良缝合方法),在愈合不良的切口予以清创4～6d,且体温正常3d后予以二次缝合,术后第10天拆线;研究组34例(采用中西医方法处理切口),在愈合不良的切口予清创1d后,在腹部切口内填充碘甘油与白糖,切口外覆盖双柏散中药粉。结果对照组15d后的痊愈率83.3%;研究组7d后腹部伤口获得痊愈率41.1%,14d伤口获得总痊愈率88.2%,两组差异有统计学意义,P<0.01。结论采用中西医结合处理伤口愈合不良的效果优于改良缝合法处理腹部切口愈合不良。
Objective To investigate the causes and treatment of obstetrics and gynecology lower abdominal incision healing. Methods A retrospective analysis of 6298 cases of gynecological and obstetric lower abdomen surgery between January 2004 and January 2010 in both hospitals was conducted. The comparative analysis of two treatment methods in 70 patients with poor healing of abdominal incision was performed: 36 cases in control group Suture method), debridement in degenerative wounds debridement 4 ~ 6d, and the temperature was normal 3d after the second suture, 10 days after suture removal; study group 34 cases (using Chinese and Western medicine treatment of incision), in poor healing Of the incision to debridement after 1d, in the abdominal incision filled with iodine glycerin and sugar, incision covered double Bai San powder. Results The cure rate of the control group after 15 days was 83.3%. The recovery rate of abdominal wound in study group was 41.1% after 7 days and the total cure rate was 88.2% on 14 days. There was significant difference between the two groups (P <0.01). Conclusion The treatment of Wound Healing by Integrative Medicine is superior to the improved suture in the treatment of incisional wound healing.