CAJ | 학술논문

目的探讨结直肠吻合术后不放置腹腔引流管的安全性和可行性.方法通过前瞻性、单盲的临床随机对照试验,将2007年7月至2009年3月四川省人民医院收治的100例结直肠手术患者采用随机数字表法分为引流组(50例)和未引流组(50例).引流组患者在完成肠吻合后留置引流管,未引流组患者在完成肠吻合后直接关腹.比较两组患者的术后住院时间、术后病死率及并发症发生率.计数资料采用x2检验、计量资料采用t检验进行统计学分析.结果两组各l例被排除试验,其余98例患者无一例死亡,均未出现肺部感染等并发症.引流组和未引流组患者术后吻合口漏、切口感染分别为2例、7例和1例、5例,住院时间分别为(11.5±2.4)d和(10.6±2.2)d,两组比较,差异无统计学意义(x2=0.00,0.38,t=1.428,P＞0.05).结论结直肠吻合术后不放置腹腔引流管是安全可行的.
목적 탐토결직장문합술후불방치복강인류관적안전성화가행성.방법 통과전첨성、단맹적림상수궤대조시험,장2007년7월지2009년3월사천성인민의원수치적100례결직장수술환자채용수궤수자표법분위인류조(50례)화미인류조(50례).인류조환자재완성장문합후류치인류관,미인류조환자재완성장문합후직접관복.비교량조환자적술후주원시간、술후병사솔급병발증발생솔.계수자료채용x2검험、계량자료채용t검험진행통계학분석.결과 량조각l례피배제시험,기여98례환자무일례사망,균미출현폐부감염등병발증.인류조화미인류조환자술후문합구루、절구감염분별위2례、7례화1례、5례,주원시간분별위(11.5±2.4)d화(10.6±2.2)d,량조비교,차이무통계학의의(x2=0.00,0.38,t=1.428,P＞0.05).결론 결직장문합술후불방치복강인류관시안전가행적.
Objective To investigate the safety and feasibility of not placing prophylactic drainage after colorectal anastomosis.Methods A total of 100 patients with colorectal cancer who were admitted to the Sichuan Provincial People's Hospital from July 2007 to March 2009 were randomly divided into drainage group (50 patients) and non-drainage group (50 patients) according to the random number table.A drainage tube was placed after colorectal anastomosis in the drainage group,while no drainage tube was placed in patients in the non-drainage group.The duration of postoperative hospital stay,mortality and morbidity of the 2 groups were compared.All data were analyzed by using the chi-square test or t test.Results Two patients(1 from each group) were excluded in the study,and no death or pulmonary infection were found in the remaining 98 patients.The numbers of patients whose course was complicated by anastomotic leakage and wound infection were 2 and 7 in the drainage group,and 1 and 5 in the non-drainage group.The duration of postoperative hospital stays were ( 11.5 ± 2.4)days in the drainage group and(10.6 ± 2.2)days in the non-drainage group.There were significant differences in the morbidity and duration of postoperative hospital stay between the 2 groups(x2 =0.00,0.38,t =1.428,P ＞ 0.05).Conclusion It is safe and feasible not to place a prophylactic peri-anastomotic drainage tube after colorectal anastomosis.