四川医学
四川醫學
사천의학
SICHUAN MEDICAL JOURNAL
2015年
2期
201-204
,共4页
负压封闭引流%脊柱手术%皮下积液
負壓封閉引流%脊柱手術%皮下積液
부압봉폐인류%척주수술%피하적액
vacuum sealing drainage%spinal operation%subcutaneous effusion
目的：探讨负压封闭引流技术( vacuum sealing drainage,VSD)治疗脊柱手术后皮下积液的临床疗效。方法2010年11月至2012年11月,我科采用VSD治疗脊柱手术后皮下积液患者26例( A组),选取同期接受传统换药治疗的23例患者为对照组( B组)。比较两组患者的再次手术率、换药次数、切口愈合时间、对患者影响程度、满意度及医疗费用。结果所有病例伤口愈合出院,随访3月无复发。 A组再次手术率为19．23%(5/26 ),与B组(47．83%,11/23)比较差异有统计学意义(=4．538,P =0．033)；A 组换药次数、切口愈合时间、对患者影响程度分别为(4．77±2．20)次、(12．88±2．80)d、(1．23±0．86)分,与B组(12．70±1．36)次、(17．87±1．71)d、(2．17±0．65)分比较差异均有统计学意义(t=-14．939、t=-7．386、t=-4．275,P=0．000)。疗效满意度评价分“满意、合格、不满意”,A组分别为20例、4例、2例,与B组(10例、5例、8例)比较差异有统计学意义(=6．887,P=0．032)。 A组中再手术组、非手术组费用分别为(7504．20± 130．34)、(2738．05±96．71)元,与B组(4741．18± 153．98)元、(2014．08± 109．64)元比较差异均有统计学意义(t=34．704、t=19．713,P=0．000)。结论 VSD 治疗脊柱术后皮下积液效果良好,相比传统方法具有痛苦少、满意度高、工作量少等优点,能有效减少医疗纠纷。
目的：探討負壓封閉引流技術( vacuum sealing drainage,VSD)治療脊柱手術後皮下積液的臨床療效。方法2010年11月至2012年11月,我科採用VSD治療脊柱手術後皮下積液患者26例( A組),選取同期接受傳統換藥治療的23例患者為對照組( B組)。比較兩組患者的再次手術率、換藥次數、切口愈閤時間、對患者影響程度、滿意度及醫療費用。結果所有病例傷口愈閤齣院,隨訪3月無複髮。 A組再次手術率為19．23%(5/26 ),與B組(47．83%,11/23)比較差異有統計學意義(=4．538,P =0．033)；A 組換藥次數、切口愈閤時間、對患者影響程度分彆為(4．77±2．20)次、(12．88±2．80)d、(1．23±0．86)分,與B組(12．70±1．36)次、(17．87±1．71)d、(2．17±0．65)分比較差異均有統計學意義(t=-14．939、t=-7．386、t=-4．275,P=0．000)。療效滿意度評價分“滿意、閤格、不滿意”,A組分彆為20例、4例、2例,與B組(10例、5例、8例)比較差異有統計學意義(=6．887,P=0．032)。 A組中再手術組、非手術組費用分彆為(7504．20± 130．34)、(2738．05±96．71)元,與B組(4741．18± 153．98)元、(2014．08± 109．64)元比較差異均有統計學意義(t=34．704、t=19．713,P=0．000)。結論 VSD 治療脊柱術後皮下積液效果良好,相比傳統方法具有痛苦少、滿意度高、工作量少等優點,能有效減少醫療糾紛。
목적：탐토부압봉폐인류기술( vacuum sealing drainage,VSD)치료척주수술후피하적액적림상료효。방법2010년11월지2012년11월,아과채용VSD치료척주수술후피하적액환자26례( A조),선취동기접수전통환약치료적23례환자위대조조( B조)。비교량조환자적재차수술솔、환약차수、절구유합시간、대환자영향정도、만의도급의료비용。결과소유병례상구유합출원,수방3월무복발。 A조재차수술솔위19．23%(5/26 ),여B조(47．83%,11/23)비교차이유통계학의의(=4．538,P =0．033)；A 조환약차수、절구유합시간、대환자영향정도분별위(4．77±2．20)차、(12．88±2．80)d、(1．23±0．86)분,여B조(12．70±1．36)차、(17．87±1．71)d、(2．17±0．65)분비교차이균유통계학의의(t=-14．939、t=-7．386、t=-4．275,P=0．000)。료효만의도평개분“만의、합격、불만의”,A조분별위20례、4례、2례,여B조(10례、5례、8례)비교차이유통계학의의(=6．887,P=0．032)。 A조중재수술조、비수술조비용분별위(7504．20± 130．34)、(2738．05±96．71)원,여B조(4741．18± 153．98)원、(2014．08± 109．64)원비교차이균유통계학의의(t=34．704、t=19．713,P=0．000)。결론 VSD 치료척주술후피하적액효과량호,상비전통방법구유통고소、만의도고、공작량소등우점,능유효감소의료규분。
Objective To discuss the clinical effects of vacuum sealing drainage on subcutaneous effusion after spinal op-eration. Methods From November 2010 to November 2012, 26 cases of subcutaneous effusion after spinal operation were treated by vacuum sealing drainage( group A) ,23 cases were treated by traditional method during the same period were selected as control group( group B) . Comparing the operation rate,frequency of change dressings,wound healing time, influence degree, satisfaction and medical expenses between group A and group B. Results All cases were followed up for 3 months ,All wounds achieved primary healing postoperatively,and without recurrence. The operation rate was 19. 23% in group A and 47. 83% in group B, showing statistically significant difference( =4. 538,P=0. 033). The frequency of change dressings, wound healing time and in-fluence degree in group A were(4. 77 ± 2. 20),(12. 88 ± 2. 80),(1. 23 ± 0. 86),and(12. 70 ± 1. 36),(17. 87 ± 1. 71),(2. 17 ± 0. 65)in group B, showing statistically significant difference(t= -14. 939,t= -7. 386,t= -4. 275,P=0. 000). The evaluation results were Satisfied,qualified and dissatisfied. There were 20cases,4cases ,2cases in group A,and 10cases,5cases,8cases in group B,showing statistically significant difference( =6. 887,P=0. 032). The medical expenses of operation group and non oper-ation group in group A were(7504.20 ±130.34),(2738.05 ±96.71),and(4741.18 ±153.98),(2014.08 ±109.64)in group B,showing statistically significant difference(t=34. 704,t =19. 713,P =0. 000). Conclusion The clinical effects of vacuum sealing drainage on subcutaneous effusion after spinal operation were good. Vacuum sealing drainage has more merits than tradition-al method:less pain, more satisfaction, less workload,and can reduce medical disputes.
