皮下置细血浆引流管联合TDP治疗器治疗肥胖患者胃肠道肿瘤术后切口脂肪液化530例  

Prophylactic subcutaneous drainage system in combination with specific electromagnetic wave to treat fat liquefaction of abdominal incision in the obese patients undergoing gastrointestinal tumor operation: an analysis of 530 cases

作　　者：方志[1] 陈庆永[1] 王春友[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院外科,湖北省武汉市430022

出　　处：《世界华人消化杂志》2008年第26期3016-3019,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨皮下置细血浆引流管联合TDP特定电磁波治疗器(俗称神灯)照射切口对治疗肥胖患者胃肠道肿瘤术后切口脂肪液化的价值.方法:前瞻性选择我院普外科及急诊外科2005-05/2008-05行胃肠肿瘤手术的肥胖患者1050例,依据不同的术后治疗方式随机分为皮下引流组(n=530)和对照组(n=520),两组均给予预防性抗生素治疗.观察切口愈合时间、平均住院时间、切口感染发生率及切口裂开发生率等各项指标.结果:引流组478例术后第3天拔除引流管,17例术后第4-5天拔除引流管,伤口甲级愈合;对照组137例进行二期缝合.引流组患者的切口愈合时间、平均住院时间较对照组明显缩短(13.3±3.6vs20.6±11.6;19.8±4.6vs31.5±10.5,均P<0.05).两组切口裂开发生率及切口感染发生率则无显著性差异.结论:肥胖患者胃肠道肿瘤手术后切口皮下置细血浆引流管联合神灯照射切口有利于切口愈合,能显著缩短患者的住院时间和切口愈合时间.AIM： To investigate the role of prophylactic subcutaneous drainage in combination with specific electromagnetic wave （divinity lamp） in treating fat liquefaction of abdominal incision in the obese patients undergoing gastrointestinal tumor operation. METHODS： A prospective study was performed on 1050 obese patients undergoing gastrointestinal tumor operation from May 2005 to May 2008 in our hospital. The subjects were assigned to subcutaneous drain group （n = 530） and control group （n = 520）. Prophylactic antibiotics were given routinely to the two groups. Data regarding patient＇s wound healing time, hospital stay, infective complication rate and wound breakdown rate in both groups were analyzed and compared. RESULTS： A total of 478 cases of subcutaneous drain group removed drainage pipe on day 3 after surgery, and 17 cases on day 4-5. For the control group, 137 cases underwent a second suture. There were significant differences in wound healing time and patient＇s hospital stay between subcutaneous drain group and the control group （13.3 ± 3.6 vs 20.6 ± 11.6; 19.8 ± 4.6 vs 31.5 ± 10.5, all P 〈 0.05）. However, there were no significant differences in the rate of wound breakdown and infectious complications. CONCLUSION： Prophylactic use of subcutaneous drains in combination with specific electromagnetic wave （divinity lamp） in obese patients undergoing gastrointestinal tumor operation can promote obese patients＇ wound healing and shorten patients＇ hospital stay and wound healing time significantly.

关 键 词：预防性皮下引流 腹部切口 脂肪液化 

分 类 号：R589.2[医药卫生—内分泌] R735[医药卫生—内科学]