摘要
目的探讨可控式负压引流在胃肠道肿瘤手术切口中的应用价值。方法回顾性分析2011年2月～2012年2月河南省肿瘤医院普外科82例接受腹部手术的患者资料,按腹壁切口的处理措施分为观察组和对照组。观察组35例,采用改良全层缝合技术缝合切口,在腹直肌前鞘和皮下脂肪层之间放置引流管,接负压持续引流;对照组47例,采用改良全层缝合技术缝合切口。观察两组切口愈合时间及切口并发症的发生率。结果观察组切口愈合时间低于对照组,差异有统计学意义(P<0.05)。两组切口并发症的发生率比较,差异无统计学意义(P>0.05)。结论可控式负压引流操作方便并且不增加术后切口并发症的发生率,可有效地预防胃肠道手术术后切口愈合延迟。
Objective To investigate the therapeutic effect of controllable negative pressure drainage in gastrointestinal tumors surgical incision.Methods The data of 82 cases who underwent surgical operation from February 2011 to February 2012 in general surgery of Tumor Hospital were analyzed retrospectively.They were divided into control group and observation group according to the abdominal incision processing measures.35 cases in observation group were treated with a drainage tube placing between the anterior rectus sheath and subcutaneous fat,and then continuous suction drainage after abdominal operation was carried out.47 cases in control group were treated with modified abdominal closure technique by all an layer.The incidence of incision complication and incision healing time were observed.Results The incision healing time in treatment group was significantly shorter（P 〈0.05）,while the incidence of incision complication in two groups was not significantly different（P 〈0.05）.Conclusion Controllable negative pressure drainage can effectively prevent gastrointestinal surgery incision healing delay,won＇t increase the incidence of postoperative incision complications.
出处
《中国当代医药》
2012年第36期33-34,共2页
China Modern Medicine
关键词
引流术
切口
脂肪液化
胃肠道肿瘤
Drainage
Incision
Fat liquefaction
Gastrointestinal tumors
