中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
6期
545-548
,共4页
疝%真空%引流术
疝%真空%引流術
산%진공%인류술
Hernia%Vacuum%Drainage
目的：总结真空高负压引流系统在腹壁切口疝手术中的应用价值。方法选取2010年1月至2014年10月，山东省枣庄市立医院行腹壁切口疝无张力修补术52例患者，随机分为二组，高负压引流组26例，应用真空高负压引流系统引流；低负压引流组26例，应用传统低负压引流球囊引流。比较二组间的术后平均置管时间、术后平均住院时间、总引流量、皮瓣下积液发生率、切口愈合不良发生率、引流管细菌培养阳性率及术后围手术期的生活质量等指标。结果二组在术后平均置管时间、术后平均住院时间、皮瓣下积液发生率、切口愈合不良发生率等方面比较差异有统计学意义（t＝5．400、4．025，χ2＝5．65、4．127，P＝0．0001、0．0002、0．017、0．042），总引流量、引流管细菌培养方面比较差异无统计学意义（t＝0．8373，χ2＝0．754，P＝0．4064、0．385），高负压引流组患者在术后围手术期的生活质量有明显改善。结论真空高负压引流系统引流效果好，可减少术后并发症，促进切口愈合、减轻医护人员工作量，还可显著改善患者术后围手术期的生活质量，值得临床推广。
目的：總結真空高負壓引流繫統在腹壁切口疝手術中的應用價值。方法選取2010年1月至2014年10月，山東省棘莊市立醫院行腹壁切口疝無張力脩補術52例患者，隨機分為二組，高負壓引流組26例，應用真空高負壓引流繫統引流；低負壓引流組26例，應用傳統低負壓引流毬囊引流。比較二組間的術後平均置管時間、術後平均住院時間、總引流量、皮瓣下積液髮生率、切口愈閤不良髮生率、引流管細菌培養暘性率及術後圍手術期的生活質量等指標。結果二組在術後平均置管時間、術後平均住院時間、皮瓣下積液髮生率、切口愈閤不良髮生率等方麵比較差異有統計學意義（t＝5．400、4．025，χ2＝5．65、4．127，P＝0．0001、0．0002、0．017、0．042），總引流量、引流管細菌培養方麵比較差異無統計學意義（t＝0．8373，χ2＝0．754，P＝0．4064、0．385），高負壓引流組患者在術後圍手術期的生活質量有明顯改善。結論真空高負壓引流繫統引流效果好，可減少術後併髮癥，促進切口愈閤、減輕醫護人員工作量，還可顯著改善患者術後圍手術期的生活質量，值得臨床推廣。
목적：총결진공고부압인류계통재복벽절구산수술중적응용개치。방법선취2010년1월지2014년10월，산동성조장시립의원행복벽절구산무장력수보술52례환자，수궤분위이조，고부압인류조26례，응용진공고부압인류계통인류；저부압인류조26례，응용전통저부압인류구낭인류。비교이조간적술후평균치관시간、술후평균주원시간、총인류량、피판하적액발생솔、절구유합불량발생솔、인류관세균배양양성솔급술후위수술기적생활질량등지표。결과이조재술후평균치관시간、술후평균주원시간、피판하적액발생솔、절구유합불량발생솔등방면비교차이유통계학의의（t＝5．400、4．025，χ2＝5．65、4．127，P＝0．0001、0．0002、0．017、0．042），총인류량、인류관세균배양방면비교차이무통계학의의（t＝0．8373，χ2＝0．754，P＝0．4064、0．385），고부압인류조환자재술후위수술기적생활질량유명현개선。결론진공고부압인류계통인류효과호，가감소술후병발증，촉진절구유합、감경의호인원공작량，환가현저개선환자술후위수술기적생활질량，치득림상추엄。
Objective To summarize the application experience of high vacuum wound drainage systems in ventral hernia repair.Methods 46 cases of ventral hernia who underwent tension-free repair in Zaozhuang City Hospital from January 201 0 to October 201 3 were collected.All patients were into two groups:high vacuum wound drainage group (23 cases)and traditional low vacuum balloon drainage group (23 cases).Further,the average postoperative drainage time,mean length of stay,total suction drainage, complications rate,bacterial positive rate of drainage tube and quality of life were analyzed and compared between the two groups.Results Comparing the average drainage time,mean length of stay,incidence of seroma and poor wound healing between the two groups. The results showed statistically significant differences (t=5.400,4.025,χ2 =5.65,4.127,P=0.000 1,0.000 2,0.017,0.042).There were no significant differences in the total suction drainage and bacterial positive rate of drainage tube (t=0.837 3,χ2 =0.754,P=0.406 4,0.385 ).The patient using high vacuum wound drainage systems was associated with an improved postoperative quality of life.Conclusion The high vacuum wound drainage systems have shown a better effect,which can decrease postoperative complications,promote wound healing,reduce workloads,and can also significantly improve patients'postoperative quality of life.It is worth the clinical promotion.
