中文摘要：

目的：探讨腹壁切口缝合中皮下放置引流管在肥胖妇科肿瘤患者手术中的临床应用价值.方法：200例肥胖妇科肿瘤患者根据腹壁切口缝合中是否放置引流管随机分为两组,104例采用腹壁切口缝合中皮下放置引流管（实验组）,96例采用传统腹壁切口缝合方法（对照组）,两组患者的体重指数、年龄、手术方式、合并糖尿病例数差异无统计学意义（P＞0.05）.比较两组腹壁缝合时间、合并糖尿病患者切口愈合率、切口Ⅰ期愈合率和术后住院天数.结果：实验组腹壁切口缝合时间、合并糖尿病患者切口愈合率、术后切口Ⅰ期愈合率、术后住院天数分别为20.80±4.86分钟、100.0％、100.0％、5.20±1.86天,对照组分别为26.91±5.75分钟、54.5％、80.0％、8.90±2.59天,两组各项指标差异均有统计学意义（P＜0.05）.结论：腹壁切口缝合中皮下放置引流管处理肥胖妇科肿瘤患者腹壁切口,缝合时间短、Ⅰ期愈合率高、术后住院天数缩短,对于合并糖尿病患者的效果更加显著,是一种安全、可靠而实用的方法.

英文摘要：

Objective：To explore the clinical value of placing the subcutaneous drainage tube in incision suture in operations of obese patients with gynecological tumors. Methods ：200 cases of gynecologic abdomi- nal incision of the obesity patients were randomly divided into two groups, using new incision suture method in 104 cases（study group） ,96 cases with traditional abdominal incision suture method（control group）. The discrepancy between two groups patient＇s; age, operation method, and the number of cases with diabetes mellitus had no significant difference（ P 〉 0.05）. Suture time, incision healing patients with diabetes rate, phase Ⅰ of incision healing rate and postoperative hospitalization days were compared between these two groups. Results：The incision suture time, incision healing patients with diabetes rate, postoperative stage Ⅰ incision healing rate,and the postoperative hospitalization days were in study group were 20. 80 ± 4. 86 minutes, 100.0% ,100.0% ,5. 20 ±1.86 days and 26.91 ±5.75 minutes,54.5% ,80. 0% ,8.90 ±2.59 days in control group, respectively, all the indexed were statistically different between the two groups （ P 〈 0. 05）, Conclusions：Placing the subcutaneous drainage tube in incision suture for treatment of gynecological obese abdominal incision with short suture time, high I healing rate,shorten postoperative hospital stays,is a safe, reliable and practical suture method ,especially for the patients combined with diabetes.