急性阑尾炎并腹膜炎手术切口感染的预防  

Prevention of wound infection after appendectomy in patients with acute appendicitis complicated with peritonitis

作　　者：韦建革 彭江 袁德汉 叶淦湖 

机构地区：[1]广东东莞市石碣人民医院普外科,523290

出　　处：《中国基层医药》2004年第5期553-554,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨降低急性化脓性坏疽性阑尾炎并腹膜炎病人手术切口感染率的预防方法。方法　穿孔性阑尾炎并腹膜炎 (A组 ) 80例 ,其中放置腹腔引流 4 9例 ,未放置引流 31例 ;非穿孔性阑尾炎并腹膜炎(B组 ) 6 7例 ,其中放置腹腔引流 18例 ,未放置引流 4 9例。统计两组的切口感染率。结果　①全部病例的切口感染率为 3 4 % ,其中A组切口感染率为 6 2 5 % ,B组无切口感染 (P <0 0 5 )。②A组中放置腹腔引流的切口感染率为 8 16 % ,未放置引流切口感染率为 3 2 2 % (P >0 0 5 )。结论　急性化脓性坏疽性阑尾炎并腹膜炎病人手术切口感染与腹膜炎严重程度及手术操作有关 ,腹腔引流与否不增加切口感染率。对急性阑尾炎病人进行早诊断、早手术以及规范的手术操作是预防术后切口感染的关键。Objective To reduce the incidence of wound infection after apendectomy in patients with acute septic appendicitis or gangrenous appendicitis complicated with peritonitis.Methods Subjects studied included,80 perforative appendicitis cases(group A) and 67 non perforative cases(group B).Abdominal cavity drainage was used for 49 cases in group A and 18 cases in group B.Results (1)The rate of wound infection in all cases was 3.4% and was 6.25% in group A.But no infection occurred in group B(P<0.05);(2)In group A,the infection rate in the cases with and without abdominal cavity drainage was 8.16% and 3.22% respectively(P>0.05).Conclusion Wound infection after appendectomy in patients with acute septic appendicitis or gangrenous appendicitis complicated with peritonitis is associated with disease severity and operation process.Abdominal cavity drainage do not increase the rate of wound infection.The key to preventing wound infection after appendectomy is early diagnose and standard operation.

关 键 词：急性阑尾炎 并发症 腹膜炎 手术切口感染 外科治疗 预防 

分 类 号：R656.8[医药卫生—外科学] R656.41[医药卫生—临床医学]