中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
7期
122-123,124
,共3页
普外科%引流%右上腹
普外科%引流%右上腹
보외과%인류%우상복
General surgery%Drainage%Right upper quadrant
目的：探讨右上腹腹腔外引流的方法。方法：抽取3年来笔者所在科室收治的上腹部不同手术共967例，随机分为试验组和对照组，试验组常规Winslow孔置管，右侧腋前线肋缘下引出引流管，对照组右肝上间隙放置引流管，沿右结肠旁沟，沿腋前线与脐水平交点偏内侧2 cm处将引流管引出体外，所有病例均保证引流管不打折引出体外，最后根据不同手术类别，观察第1天引流量、拔管时间、右侧膈下积液情况、胸腔反应性积液情况等指标，对比两种引流方法的引流效果。结果：对照组第1天引流量多于试验组，对照组拔管时间短于试验组，对照组术后发生膈下积液、胸腔反应性积液少于试验组。结论：对于右上腹引流，对照组引流效果优于试验组，且对照组可有效避免右侧膈下积液及胸腔反应性积液产生及加重。
目的：探討右上腹腹腔外引流的方法。方法：抽取3年來筆者所在科室收治的上腹部不同手術共967例，隨機分為試驗組和對照組，試驗組常規Winslow孔置管，右側腋前線肋緣下引齣引流管，對照組右肝上間隙放置引流管，沿右結腸徬溝，沿腋前線與臍水平交點偏內側2 cm處將引流管引齣體外，所有病例均保證引流管不打摺引齣體外，最後根據不同手術類彆，觀察第1天引流量、拔管時間、右側膈下積液情況、胸腔反應性積液情況等指標，對比兩種引流方法的引流效果。結果：對照組第1天引流量多于試驗組，對照組拔管時間短于試驗組，對照組術後髮生膈下積液、胸腔反應性積液少于試驗組。結論：對于右上腹引流，對照組引流效果優于試驗組，且對照組可有效避免右側膈下積液及胸腔反應性積液產生及加重。
목적：탐토우상복복강외인류적방법。방법：추취3년래필자소재과실수치적상복부불동수술공967례，수궤분위시험조화대조조，시험조상규Winslow공치관，우측액전선륵연하인출인류관，대조조우간상간극방치인류관，연우결장방구，연액전선여제수평교점편내측2 cm처장인류관인출체외，소유병례균보증인류관불타절인출체외，최후근거불동수술유별，관찰제1천인류량、발관시간、우측격하적액정황、흉강반응성적액정황등지표，대비량충인류방법적인류효과。결과：대조조제1천인류량다우시험조，대조조발관시간단우시험조，대조조술후발생격하적액、흉강반응성적액소우시험조。결론：대우우상복인류，대조조인류효과우우시험조，차대조조가유효피면우측격하적액급흉강반응성적액산생급가중。
Objective:To discuss the way of the right upper quadrant external drainage.Method:We randomly selected 967 patients of general surgery which in the epigastric region,the patients were divided into test group and control group,test group which put the drainage tube in the foramen of Winslow,and lead the drainage tube out of body on the right anterior axillary line under the right costal margin,control group which put the drainage tube in the clearance of upper right hepatic,follow the right paracolic sulci,lead the drainage tube out of body on the left of the point 2 centimeter which the right anterior axillary line and umbilicus cross.Making sure that all the patients’ drainage keep traight,according to different sort of surgery,we observed drainage of the first day,the time of pull out the drainage,the effusion under the right midriff,pleural effusion,contrast the the effect of external drainage.Result:Control group drainage more than test group of first day,the time of control group pull out the drainage short of test group,the chance of the control group gain the effusion under the right midriff or pleural effusion short of test group.Conclusion:For the right upper quadrant external drainage,the effect of control group surpass test group,control group can avoid the effusion under the right midriff and pleural effusion.
