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妇科手术术后最严重合并症之一是腹部伤口裂开。其发生率是0.3～0.7%。此与10～35%的患者死亡率相关。为避免有高危因素的患者术后伤口裂开,Geogia医学院从1984年8月1日至1988年2月1日,即42个月期间,对210例妇科手术患者采用不能吸收的连续缝线通过筋膜、肌肉和腹膜广泛对合的方法闭合腹部正中切口。 210例患者年龄19～89岁。妇科癌瘤手术;36%患者系因盆腔良性肿物手术。本研究中,患者伤口裂开的致病因素不同。附加高危因素包括肥胖占56%;糖尿病占28%;既往放疗或化疗占17%;腹水占8%;盆腔炎症性疾患或输卵管卵巢脓肿占
One of the most serious complications of gynecological surgery is the rupture of the abdominal wound. The incidence is 0.3 ~ 0.7%. This is related to 10 to 35% of patient mortality. To avoid postoperative wound dehiscence in patients at high risk, Geogia Medical School operated on 210 patients with gynecological surgery from January 1, 1984 to February 1, 1988, 42 months, with non-absorbable continuous sutures Close the incision to the midline of the abdomen through a wide range of methods of fascia, muscle and peritoneum. 210 patients aged 19 to 89 years. Gynecologic cancer surgery; 36% of patients due to pelvic benign tumor surgery. In this study, patients with different causes of wound dehiscence. Additional risk factors include obesity 56%; diabetes 28%; previous radiotherapy or chemotherapy 17%; ascites 8%; pelvic inflammatory disease or tubal ovarian abscess accounted for