中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
20期
3113-3114,3115
,共3页
沈小群%袁文琴%陈灵芝%袁美娟
瀋小群%袁文琴%陳靈芝%袁美娟
침소군%원문금%진령지%원미연
十二指肠疾病%破裂%导管插入术%抽吸
十二指腸疾病%破裂%導管插入術%抽吸
십이지장질병%파렬%도관삽입술%추흡
Duodenal diseases%Rupture%Catheterization%Suction
目的：探讨十二指肠腔内双套管负压吸引在十二指肠破裂修补术中的应用价值。方法将60例十二指肠破裂并且施行十二指肠修补术患者，根据患者手术方法分为单纯引流组（26例）和双套管吸引组（34例），比较两组手术和并发症发生情况。结果两组术后7 d 引流量差异有统计学意义（t ＝7．564，P ＜0．05），单纯引流组的住院时间和住院费用多于双套管吸引组，差异均有统计学意义（t ＝3．567、4．123，均P ＜0．05）。单纯引流组十二指肠瘘、腹腔感染、切口感染、肺部感染发生率分别为30．77％、42．31％、46.15％、26.92％，均高于双套管吸引组的2．94％、11．76％、8．82％、2．94％、5．88％，差异均有统计学意义（χ2＝8．949、7．330、10．950、2．986、5．116，均 P ＜0．05）。结论十二指肠腔内双套管负压吸引可以明显降低十二指肠破裂修补术后并发症的发生率，具有一定安全性。
目的：探討十二指腸腔內雙套管負壓吸引在十二指腸破裂脩補術中的應用價值。方法將60例十二指腸破裂併且施行十二指腸脩補術患者，根據患者手術方法分為單純引流組（26例）和雙套管吸引組（34例），比較兩組手術和併髮癥髮生情況。結果兩組術後7 d 引流量差異有統計學意義（t ＝7．564，P ＜0．05），單純引流組的住院時間和住院費用多于雙套管吸引組，差異均有統計學意義（t ＝3．567、4．123，均P ＜0．05）。單純引流組十二指腸瘺、腹腔感染、切口感染、肺部感染髮生率分彆為30．77％、42．31％、46.15％、26.92％，均高于雙套管吸引組的2．94％、11．76％、8．82％、2．94％、5．88％，差異均有統計學意義（χ2＝8．949、7．330、10．950、2．986、5．116，均 P ＜0．05）。結論十二指腸腔內雙套管負壓吸引可以明顯降低十二指腸破裂脩補術後併髮癥的髮生率，具有一定安全性。
목적：탐토십이지장강내쌍투관부압흡인재십이지장파렬수보술중적응용개치。방법장60례십이지장파렬병차시행십이지장수보술환자，근거환자수술방법분위단순인류조（26례）화쌍투관흡인조（34례），비교량조수술화병발증발생정황。결과량조술후7 d 인류량차이유통계학의의（t ＝7．564，P ＜0．05），단순인류조적주원시간화주원비용다우쌍투관흡인조，차이균유통계학의의（t ＝3．567、4．123，균P ＜0．05）。단순인류조십이지장루、복강감염、절구감염、폐부감염발생솔분별위30．77％、42．31％、46.15％、26.92％，균고우쌍투관흡인조적2．94％、11．76％、8．82％、2．94％、5．88％，차이균유통계학의의（χ2＝8．949、7．330、10．950、2．986、5．116，균 P ＜0．05）。결론십이지장강내쌍투관부압흡인가이명현강저십이지장파렬수보술후병발증적발생솔，구유일정안전성。
Objective To investigate the clinical value of the duodenum double lumen cannula suction in duodenal rupture repair.Methods According to the operation methods,60 patients with duodenal rupture undergoing duodenal repair were divided into the surgical drainage alone group(26 cases)and double sets attract tube group (34 cases).The surgery effect and complications were observed.Results The difference of traffic flow 7 days after the operation between the two groups was statistically significant(t =7.564,P <0.05).The length of stay and hospital costs of the surgical drainage alone group were more than those of the double sets attract tube group,the differences were statistically significant(t =3.567,4.123,all P <0.05).The fistula,intra -abdominal infections,wound infec-tions,pulmonary infection rates of the surgical drainage alone group were 30.77%,42.31%,46.15%,26.92%, which were higher than 2.94%,11.76%,8.82%,2.94%,5.88% of the double sets attract tube group,the differ-ences were statistically significant(χ2 =8.949,7.330,10.950,2.986,5.116,all P <0.05).Conclusion Applica-tion of the double lumen cannula duodenal suction in duodenal rupture repair can significantly reduce the incidence of postoperative complications,has certain security,it is recommended in clinical practice.
