摘要
目的探讨闭式引流在脂肪抽吸术后应用的可行性及临床意义。方法 2005年4月～2010年12月,对78例腰腹环周脂肪抽吸术,随意选取39例术后在放置引流管的切口外采用贴覆消毒后的尿路造口袋引流并记录引流量,引流袋在术后24～120 h(引流量<10 ml)揭除,观察切口周围皮肤并常规处理切口。其余仍采取开放引流为对照,对伤口闭合前换药次数及切口愈合情况进行对比分析。2组剑脐中点水平、经脐水平、脐耻中点水平周径差异无显著性。结果 2组手术时间、肿胀液注入量及吸出纯脂肪量差异无显著性。与开放引流组相比,闭式引流组术后换药次数少[(1.1±0.3)次vs.(3.7±1.0)次,t=-32.922,P=0.000],切口愈合延迟少[4例vs.22例,χ2=18.692,P=0.000]。闭式引流组经过24～120 h术后观察经切口流入引流袋的渗出液(150～1600 ml)引流通畅;贴合处皮肤无过敏、瘙痒。结论闭式引流简单安全有效。它可准确观察记录术区渗液情况,避免术后术区污染,免除术后频繁换药,减少切口愈合延迟,提高患者的术后舒适度。
Objective To evaluate the feasibility and clinical value of post-liposuction closed drainage. Methods From April 2005 to December 2010,totally 39 cases were randomly selected from 78 cases of waist-abdomen circumferential liposuction to receive ureterocutaneostomy so that to monitor the drainage volume.A disinfectant drainage bag was stuck around the incision in which the drainage tube were put through and the drainage volume was recorded.The bag was removed in 24 to 120 h after the operation,（with drainage volume less than 10 ml）,and the skin around the incision was examined and recieved routine treatments.The other 39 patients in the 78 cases received open drainage as a control.The times of exchange dressings before the incision was closed and incision healing condition were analyzed and compared between the two groups.There were no significant differences between these two groups in the circumference at middle points between the xiphoid and the navel,and the navel to the pubic symphysis,and at navel point.Results No significant difference was detected between the two groups in operation time,and the volume of tumescence anesthetic solution injected and pure lipid drawn out.The closed drainage group had the dressings exchanged less frequently and less delayed healing delayed than the open drainage group [（1.1±0.3） vs.（3.7±1.0） times,t=-32.922,P=0.000;4 vs.22 cases,χ2=18.692,P=0.000].In the closed drainage group,totally 150-1600 ml exudate were collected in 24 to 120 hours after the operation,no skin allergy and pruritus were complained. Conclusions With a drainage bag by ureterocutaneostomy,closed drainage is simpler,safer and more effective than open drainage after liposuction operation.By the method,it is easier and more accurate to monitor drainage volume.The closed drainage can also well avoid the pollution of operation area,reduce dressing exchanges,decrease healing delays and improve comfortableness as well as alleviate the nervousness and fear of the patients after operation.
出处
《中国微创外科杂志》
CSCD
2011年第10期956-958,共3页
Chinese Journal of Minimally Invasive Surgery
