摘要
目的探讨负压引流技术对肝癌肝切除术后患者手术部位感染的预防效果。方法选取2016年11月至2018年10月本院收治的72例肝癌手术患者作为研究对象。根据是否实施负压引流将患者分为常规组和负压引流组,各36例。两组患者均实施肝癌肝切除术,常规组给予厄他培南抗感染及相应对症治疗,负压引流组在常规组基础上给予皮下持续负压引流。比较两组术后切口及器官组织感染情况、脂肪液化情况、拆线时间、引流拔管时间及住院治疗时间。结果负压引流组引流拔管时间为(7.64±1.12)d;治疗后,负压引流组拆线时间及住院治疗时间均少于常规组(P<0.05);负压引流组切口感染率(5.55%)、器官/腔隙感染率(2.78%)、脂肪液化率(5.55%)及总并发症发生率(13.89%)均低于常规组(22.22%、16.67%、25.00%、63.89%)(P<0.05)。结论负压吸引可缩短肝癌肝切除术后患者拆线时间及住院治疗时间,降低手术切口感染、器官/腔隙感染以及脂肪液化的发生率,值得临床推广应用。
Objective To investigate the preventive effect of negative pressure drainage on surgical site infection in patients with hepatocellular carcinoma after hepatectomy. Methods 72 patients with hepatocellular carcinoma treated in our hospital from November 2016 to October 2018 were selected as study subjects. They were divided into routine group and negative pressure drainage group according to whether or not negative pressure drainage was performed, with 36 cases in each group. Two groups of patients underwent hepatectomy for hepatocellular carcinoma. The routine group was given anti-infection and corresponding symptomatic treatment with ertapenem. The negative pressure drainage group was given continuous negative pressure drainage on the basis of the routine group. The incision and organ infection, fat liquefaction, suture removal time, drainage time and hospitalization time were compared between the two groups. Results The drainage and extubation time of negative pressure drainage group was(7.64±1.12) days;after treatment, the suture removal time and hospitalization time of negative pressure drainage group were less than those of routine group(P<0.05). The incision infection rate(5.55%), organ/lacuna infection rate(2.78%), fat liquefaction rate(5.55%) and total complication rate(13.89%) of negative pressure drainage group were lower than those of routine group(22.22%, 16.67%, 25.00% and 63.89%)(P<0.05). Conclusion Negative pressure suction can shorten the time of thread removal and hospitalization after hepatectomy for hepatocellular carcinoma, and reduce the incidence of incision infection, organ/lacunar infection and fat liquefaction. It is worthy of clinical application.
作者
班开河
Ban Kaihe(Department of Surgery,Tengnan Hospital,Zaozhuang Mining Group,Jining,Shandong,277606,China)
出处
《当代医学》
2020年第3期56-58,共3页
Contemporary Medicine
关键词
负压引流技术
肝癌
肝切除术
术后感染
Negative pressure drainage technology
Liver cancer
Hepatectomy
Postoperative infection
