【摘要】 目的 探讨肥胖患者下腹部手术采用Joel-Cohen切口对预防非感染性切口裂开的临床效果。方法 选择切口部位皮下脂肪层厚达4~5cm的妇产科手术患者90例，随机分为观察组44例，采用Joel-Cohen切口；对照组46例，采用下腹正中直切口。观察切口愈合和脂肪液化情况。结果 观察组切口甲级愈合率显著高于对照组(P<0.01)；脂肪液化切口裂开率显著低于对照组(P<0.05)。结论 脂肪组织厚达4~5cm以上下腹部手术切口，采用Joel-Cohen切口可以减少脂肪液化，切口愈合显著优于下腹直切口，值得临床推广应用。

    【关键词】 肥胖患者;Joel-Cohen切口;愈合率;临床效果

    Clinical observation of healing after operation with lower abdominal Joel-Cohen incision

    HUO Wu-xiu,PAN Xu-hua.

    Department of Obstetrics and Gynecology, Yanling People’s Hospital, Hunan 412500,China

    【Abstract】 Objective The author approaches clinical effects of lower abdominal operation with Joel-Cohen incision on obese patients for prevention of non-infectious incisive rending.Methods Selected and 90 gynaecological and obstetric patients whose fat thickness of the incisive area reaches 4-5cm and randomly divided them into two groups; observation group of 44 cases, the Joel-Cohen incision was adopted, while the contrasting group of 46 cases, the middle vertical incision was used. Observed the incision healing and fat liquefaction of the two groups.Results The Class-A healing rate of the observation group was obviously higher than that of the contrasting group (P<0.01);while the rate of liquefaction and incision rending were much lower than that of the contrasting group (P<0.05). Conclusion The adoption of lower abdominal operation with Joel-Cohen incision on patients whose fat tissue is 4～5cm thick can reduce fat liquefaction, and the incision healing rate is superior to that of lower abdominal vertical incision. Therefore this operation method is worthy to spread. ......