40例腹腔引流管在普外科中的临床应用价值  

Clinical value of 40 cases with abdominal cavity drainage tube in general surgery

作　　者：董宇[1] 

机构地区：[1]武警工程大学医院外二科,陕西西安710086

出　　处：《现代预防医学》2012年第22期6002-6003,6006,共3页Modern Preventive Medicine

摘　　要：目的探讨腹腔引流管在几种常见的普外科中的临床应用价值。方法采用资料回顾性分析的方法,将2008年12月～2011年12月入住某院普外科的40例患者的临床资料进行回顾性分析,分为观察组和对照组,运用卡方检验(χ2检验)对上述3组的临床疗效进行对比分析,以P﹤0.05为差异有统计学意义。结果 (1)胆囊切除患者组:观察组无1例出现腹痛、腹胀、发热以及肩痛等不良症状,对照组有2例出现上腹痛,2例出现肩痛及发热症状,经B超证实胆囊窝区出现少量积液,差异有统计学意义(P﹤0.01)。(2)肝移植术患者组:观察组术前有5例患者出现大出血症状,3例并发膈下积液,放置腹腔引流管后的7d之内,症状治愈率达到100%。对照组在术前有6例出现大出血症状,4例并发膈下积液,经过常规的止血等方面的治疗,7d内治愈率分别为66.7%和50%。(3)肠瘘患者组:观察组术后放置腹腔引流管之后,自愈率达到72.7%(8/11),剩下3例因瘘口不能自愈而行肠瘘确定性手术治疗后治愈。对照组一次性自愈率仅为54.5%(6/11)。结论腹腔引流管在普外科中具有较高的临床治疗效果,对于治疗普外科患者具有十分重要的临床价值,应该在普外科临床治疗中加以推广并应用。OBJECTIVE To explore the abdominal drainage tube in the clinical value of several common general surgery.METHODS A retrospective analysis was conducted during Dec.2008 and Dec.2011,and 40 patients in the general surgery department were analyzed retrospectively.They were divided into control group and observation group.Chi-square test(test)was used for analyze the clinical efficacy of these three groups,P﹤0.05 was considered statistically significant.RESULTS(1)cholecystectomy patient group:no case showed adverse symptoms,such as abdominal pain,bloating,fever and back pain in observation group.2 cases in the control group had abdominal pain,shoulder pain and fever symptoms in the control group,and confirmed by B ultrasound gallbladder fossazone in a small amount of effusion.These differences had significant statistical significance(P﹤0.01).(2)Liver transplantation groups:5 cases had bleeding symptoms,and the cure rate reached 100% within 7 days.Three cases showed subphrenic effusion and placing peritoneal drainage tube.6 cases in the control group showed bleeding symptoms,4 cases had subphrenic effusion,7 days after conventional hemostatic and other aspects of treatment.The cure rates were 66.7% and 50%.(3)Bowel fistula Group:observation group were placed abdominal drainage tube,and the healing rate was 72.7%(8/11),and the rest cure after definitive surgery in the treatment of three cases of intestinal fistula can not be self-healing fistula.In the control group,one-time self-healing rate was 54.5%(6/11).CONCLUSION Abdominal drainage tube has a high therapeutic effects in the general surgery and has important clinical value in treatment of patients with general surgery,which should be promoted and applied in the clinical treatment of general surgery.

关 键 词：普外科 胆囊切除 肝移植 肠瘘 临床价值 

分 类 号：R656[医药卫生—外科学]