摘要
目的探讨高负压引流下不缝合脂肪层的切口缝合法在结直肠肿瘤手术中的应用。方法回顾性分析2015年1月—2016年3月河南省肿瘤医院手术治疗的结直肠肿瘤患者120例,按术后皮下切口是否应用高负压引流分为观察组(皮下脂肪层不缝合,常规放置高负压引流)与对照组(皮下脂肪层不缝合,不放置高负压引流)各60例,对照组术后采用早期挤压排液法引流。观察并比较两组切口愈合情况、并发症情况、病人满意度及术后住院时间等。结果观察组和对照组患者切口感染(P=0.027,χ~2=4.904)、引流量(P=<0.001,t=23.633)、疼痛评分(P=<0.001,t=29.131)、切口裂开(P=0.012,χ~2=6.316)、二次拆开引流(P=0.022,χ~2=5.217)、脂肪液化(P=0.028,χ~2=4.821)、换药次数(P=<0.001,t=24.984)、住院时间(P=<0.001,t=28.837)、术后拆线天数(P=<0.001,t=34.124)、满意度评分(P=<0.001,t=36.908),切口甲等愈合情况(P=<0.001,χ~2=17.758)等差异均有统计学意义(P<0.05)。结论高负压引流下的不缝合脂肪层的切口缝合方法,明显优于传统的切口缝合法,不仅提高了患者的切口愈合率,减少了切口愈合不良的发生,而且缩短了患者术后住院时间,提高了患者的满意度,值得临床推广。
Objective To investigate the application of high vacuum drainage without fat suture in the treatment of color- ectal cancer. Methods Totally 120 patients with colorectal cancer were retrospectively collected from January 2015 to March 2016 in Henan Cancer Hospital. The patients were divided into two groups according to whether using the high vacuum drainage, observation group （ subcutaneous fat layer without suture, high vacuum drainage were placed ） and con- trol group （ subcutaneous fat layerwithout suture, high vacuum drainage were not placed ）. The control group were treated with early extrusion drainage method. Wound healing, complications, patient satisfaction and postoperative hospital stay were observed and compared between the two groups. Results the observation group and the control group of patients with incision infection （P = 0. 027 ,χ2 = 4. 904） , the yolume of wound drainage （P = 〈 0. 001, t = 23. 633） , pain score （ P = 〈 0.001, t = 29.131 ）, wound dehiscence （ P = 0.012 ,X2 = 6.316）, secondly free the incision （ P = 0. 022 ,X2 = 5. 217, fat liquefaction （ P = 0. 028 ,X2 = 4. 821 ） , number of dressing （ P = 〈 0. 001, t = 24. 984 ） , hospitalization time （ P = 〈 0. 001,t = 28. 837 ）, postoperative days stitches （P = 〈 0. 001,t = 34. 124） , satisfaction score （P = 〈 0. 001, t = 36. 908} , wound healing of A grade（P = 〈 0. 001 ,X2 = 17. 758） , the differences below 0. 005 between two groups were statistically significant （ P 〈 0. 05）. Conclusion High vacuum drainage without fat suture method is superior to the traditional method, not only improve the patientg wound healing grade, reduce the complications and shorten the postoperative hospitalization time, improve patient satisfaction, worthy of clinical promotion.
作者
原伟伟
黄晋熙
王程虎
李佳畛
YUAN Wei - wei;HUANG Jin - xi;WANG Cheng - hu;LI Jia - zhen(Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou 450003, Chin)
出处
《医药论坛杂志》
2018年第3期60-63,66,共5页
Journal of Medical Forum
关键词
结直肠癌
高负压
切口
愈合
Colorectal cancer
High vacuum drainage
Incision
Healing
