Objectives:To investigate the treatment efficacy of B ultrasound-guided puncture in treating cesarean incision infection in order to provide basis for its clinical treatment.Methods:56 puerperae with cesarean incision infection from August 2013 to August 2015 were selected and divided into experimental group and control group.The experimental group received B ultrasound-guided puncture while the control group received conventional treatment.Results:There were 2 cases (7.14％) invalid and 26 cases (92.86％) valid in the experimental group,while there were 7 cases (25.00％) invalid and 21 cases (75.00％) valid in the control group,with statistically significant difference (P ＜ 0.05).In the experimental group,the stitches time,temperature peak and average hospital stay was (7.02 ± 0.71) days,(36.63 ± 0.28) ℃ and (4.01 ± 2.93) days respectively,while these in the control group were (9.82 ±0.93) days,(37.72 ±0.69) ℃ and (9.53 ± 1.49) days respectively,with statistically significant difference (P ＜0.05).There were 2 cases (7.14％) of juicing induration and 6 cases (21.43％)of swelling in the experimental group,while those in the control group were 12 cases (42.86％) and 23 cases (82.14％) respectively,with statistically significant difference (P ＜ 0.05).Conclusion:Clinical risk factors for cesarean incision infection are many,and B ultrasound-guided puncture is of remarkable effect in treating the infection,which should be give more attention to in clinical.%目的:探讨剖宫产术后子宫切口感染患者采用B超引导下穿刺进行治疗的疗效,为临床有效治疗术后切口感染提供依据.方法:选择2013年8月至2015年8月在医院进行剖宫产,并且术后发生切口感染的产妇共56例.试验组产妇选择B超引导下穿刺手段进行治疗,对照组产妇常规治疗.结果:试验组产妇中无效及总有效情况分别为2例(7.14％)、26例(92.86％),对照组产妇中无效及总有效情况分别为7例(25.00％)、21例(75.00％),试验组产妇中总有效率比对照组高,其差异有统计学意义(P＜0.05).试验组产妇中拆线时间、体温高峰及住院时间平均值分别为(7.02 ±0.71)d、(36.63±0.28)℃、(4.01±2.93)d,对照组产妇中拆线时间、体温高峰及住院时间平均值分别为(9.82 ±0.93)d、(37.72 ±0.69)℃、(9.53±1.49)d,差异均有统计学意义(P＜0.05).试验组产妇中硬结及红肿渗液情况分别为2例(7.14％)、6例(21.43％),试验组产妇中硬结及红肿渗液情况分别为12例(42.86％)、23例(82.14％),差异均有统计学意义(P＜0.05).结论:诱发剖宫产患者术后出现切口感染的临床危险因素多种多样,临床上采用B超引导下穿刺技术进行治疗时,可使产妇切口感染情况得到显著改善,有利于产妇的康复,在临床上值得重视.
展开▼
