CAJ | 학술논문

目的：探讨皮下置管引流及切口预置抗菌薇乔线延期缝合对腹部Ⅲ类手术后切口感染的影响。方法：将所收集的504例Ⅲ类切口腹部外科手术患者分成3组：A组（术后彻底冲洗切口后行一期缝合）143例，B组（术后关闭腹膜至腹直肌前鞘后切口预置抗菌薇乔线未缝合）190例，C组（术后皮下放置引流管）171例。比较3组术后切口感染率及切口二期清创缝合率。结果：A组有11例切口感染，感染率为7．69％；B组有4例切口感染，感染率为2．11％；C组有3例切口感染，感染率为1．75％。3组总体切口感染率差异有统计学意义（P＜0．05），B组和C组切口感染率较A组低，差异有统计学意义（P＜0．0167）。3组切口感染患者二期清创缝合率差异无统计学意义（P＞0．05）。结论：Ⅲ类切口腹部外科手术后预置抗菌薇乔线切口延期缝合及放置皮下引流管的方法可以降低切口感染率，但不能降低感染切口的二期清创缝合率。
목적：탐토피하치관인류급절구예치항균미교선연기봉합대복부Ⅲ류수술후절구감염적영향。방법：장소수집적504례Ⅲ류절구복부외과수술환자분성3조：A조（술후철저충세절구후행일기봉합）143례，B조（술후관폐복막지복직기전초후절구예치항균미교선미봉합）190례，C조（술후피하방치인류관）171례。비교3조술후절구감염솔급절구이기청창봉합솔。결과：A조유11례절구감염，감염솔위7．69％；B조유4례절구감염，감염솔위2．11％；C조유3례절구감염，감염솔위1．75％。3조총체절구감염솔차이유통계학의의（P＜0．05），B조화C조절구감염솔교A조저，차이유통계학의의（P＜0．0167）。3조절구감염환자이기청창봉합솔차이무통계학의의（P＞0．05）。결론：Ⅲ류절구복부외과수술후예치항균미교선절구연기봉합급방치피하인류관적방법가이강저절구감염솔，단불능강저감염절구적이기청창봉합솔。
Objective To investigate the effect of placing subcutaneous drain tube and preseting triclosan-coated polyglactin 910 suture with delayed suturing to incision infection after typeⅢabdominal surgery. Methords Dividing 504 patients with typeⅢincisions undergone abdominal surgery into 3 groups. The number of group A patients with thoroughly incision washing and primary triclosan-coated polyglactin 910 suture after abdominal surgery was 143. The number of group B with closed anterior rectus sheath, opened skin and subcutaneous fat with preseted triclosan-coated polyglactin 910 suture was 190. The number of group C with subcutaneous drain tube after abdominal surgery was 171. We compared the incidence rates of incision infection and the second phase debridement suture rates among the 3 groups. Results For the group A, B, C, the number of incision infection people was 11, 4, 3 and the incision infection rate was 7.69%, 2.11%and 1.75%respectively. The difference of the 3 groups incision infection rate were statistically significant (P<0.05). The incision infection rate of the group B and group C were lower than that of group A and the difference were statistically significant (P<0.016 7). There were no significant differences in second phase debridement suture rates among the 3 groups. Conclusion Preseting triclosan-coated polyglactin 910 suture with delayed incision sutue and placing subcutaneous drain tube can decrease the incision infection rates for type Ⅲpatients after abdominal surgery, but can not decrease the second phase debridement suture rates of the infectious incision.