摘要
目的探讨不同负压引流强度下宫颈癌患者手术切口愈合情况。方法选取2013年1月至2016年6月间四川省会东县人民医院收治的84例宫颈癌患者,采用随机数表法分为零负压组、低负压组和高负压组,每组28例。所有患者切口均给予自然对合处理,并给予不同强度的负压引流,观察三组患者的伤口愈合情况,比较三组患者的切口脂肪液化情况、切口感染情况、拆线时间、换药次数和住院时间等。结果零负压组患者切口脂肪液化3例,低负压组1例,高负压组0例,三组比较,差异有统计学意义(P<0.05)。零负压组患者甲级愈合21例,乙级愈合5例,切口感染2例;低负压组甲级愈合26例,乙级愈合2例,无切口感染患者;高负压组甲级愈合27例,乙级愈合1例,无切口感染患者。三组比较,差异均有统计学意义(均P<0.05)。三组患者平均拆线时间比较,差异有统计学意义(P<0.05)。三组患者平均换药次数和平均住院时间比较,差异无统计学意义(P>0.05)。结论施加负压引流可促进宫颈癌患者术后切口愈合,适于临床应用。
Objective To explore the status of surgical incision healing in cervical cancer with different intensity of negative pressure drainage. Methods A total of 84 patients with cervical cancer were selected at Huidong County People＇s Hospital from January 2013 to June 2016. Patients were divided into three groups： zero negative pressure group,low negative pressure group and high negative pressure group with 28 patients in each group. All the three groups were given natural involution for incision and different intensity of negative pressure drainage. Wound healing was compared among the three groups. Incision fat liquefaction,incision infection,time to removing stitches times of dressing change and length of hospitalization were statistically analyzed. Results Incision fat liquefaction occurred in 3 patients for the zero negative pressure group,1 patient for the low negative pressure group and none for the high-pressure group（ P〈0. 05）. For the zero negative pressure group,21 patients achieved class A healing,5 patients achieved class B healing and 2 patients hade infection of incision. For the low negative pressure group,26 patients achieved class A healing,2 patients achieved class B healing and no patient was found intentioned. For the high negative pressure group,27 patients achieved class A healing,1 patient achieved class B healing and no patient was found intentioned（ all P〈0. 05）. There were statistically significant differences in time to removing stitches among the three groups（ P〈0. 05）. No statistically significant difference was noted in the mean times of dressing change and length of hospitalization among the three groups（ P〈0. 05）. Conclusion Negative pressure drainage can promote incision healing,which is appropriate for the clinical practice.
出处
《中国肿瘤临床与康复》
2017年第11期1350-1352,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
负压引流
不同强度
宫颈癌手术
切口愈合
Negative pressure drainage
Different intensity
Surgery for cervical cancer
Incision healing
