摘要
目的探讨急性阑尾炎手术切口脂肪层下置管引流预防术后切口感染的可行性及效果。方法选取2012年6月至2014年6月期间收治的行阑尾切除术的急性阑尾炎患者,采用随机抽签法将其分为两组。对照组行常规腹腔冲洗,研究组采用脂肪层下置管引流联合腹腔冲洗,对比分析两组患者切口感染及愈合情况。结果研究组切口感染明显低于对照组(10.76%比33.54%,χ2=23.7826,P<0.05);研究组单纯性阑尾炎、化脓性阑尾炎、坏疽性阑尾炎术后切口感染率均明显低于对照组(P<0.05);研究组患者术后切口愈合时间为5.68±2.54 d明显高于对照组的9.75±3.14 d(t=12.6672,P<0.05);研究组切口愈合情况明显优于对照组(χ2=10.4548,P<0.05)。结论急性阑尾炎手术切口脂肪层下置管引流能有效预防术后切口感染,促进切口愈合,缩短愈合时间,提高愈合质量。
Objective To analyze the feasibility and effect in the prevention of postoperative incision infection in acute appendicitis operation incision of fat layer drainage,to promote early healing of incision,to provide reference for future application. Methods According to the random number table,patients with acute appendicitis form June 2012 to June 2014 were included into the control group and the study group. The study group received catheter drainage combined with peritoneal lavage in the fat layer. To compare and analyze incision infection and healing between the two groups. Results Wound infection in the study group was significantly lower than the control group（ 10. 76% vs. 33. 54%; χ2=23. 7826,P〈0. 05）. Postoperative wound infection rate of simple appendicitis,acute appendicitis,gangrenous appendicitis in study group was obviously lower than that of control group（ P〈0. 05）. The postoperative wound healing time in the study group was significantly shorter than that in the control group（ 9. 75 ± 3. 14 d vs. 5. 68 ± 2. 54 d; t = 12. 6672,P〈0. 05）. The incision healing in the study group was significantly better than the control group（ χ2= 10. 4548,P〈0. 05）. Conclusion Acute appendicitis incision drainage layer of fat can effectively prevent postoperative infection,promote wound healing and shorten healing time and improve the quality of healing and can be widely used in clinical practice.
出处
《临床和实验医学杂志》
2015年第13期1123-1125,共3页
Journal of Clinical and Experimental Medicine
