Clinical analysis of the abdominal wound undesirable healing in 58 cases / 中国基层医药

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 liquefied3 cases(48.3%),the anaemia and/or hypoproteinemia13 cases(22.4%);combined with diabetes3 cases(5.2%),hypertension6 cases(10.3%),wound infection2 cases(3.5%)and wound hematoma1 case(1.7%);two high risk factors coexisted22 cases(37.9%),three or more risk factors coexisted11 cases(19.0%).The complication of such wound healing defect such as effusion26 cases(44.8%),flare and induration28 cases(48.3%),low-grade fever5 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.