皮下置管负压引流技术在预防腹部切口脂肪液化中的应用研究  

Application of subcutaneous catheter suction drainage technology in the prevention of fat liquefaction of abdominal incision

作　　者：秦勇[1] 陈念平[1] 谭小宇[1] 周军[1] 陈明[1] 缪辉来[1] 

机构地区：[1]广东医学院附属医院肝胆外科,广东湛江524001

出　　处：《腹部外科》2010年第3期167-168,共2页Journal of Abdominal Surgery

摘　　要：目的探讨皮下引流管持续负压引流对肥胖病人腹壁切口脂肪液化的预防作用。方法选取2004年6月至2009年8月行腹部手术的肥胖病人300例,随机分为对照组及治疗组各150例。对照组按传统切口缝合方法,治疗组在腹直肌前鞘与皮下脂肪间置引流管1根,术后持续负压引流。观察脂肪液化发生率及伤口愈合情况。结果治疗组切口脂肪液化率显著低于对照组,而切口甲级愈合率明显高于对照组,两组间差异均具有统计学意义(P<0.01)。结论皮下置管负压引流技术对肥胖病人腹壁切口脂肪液化有较好的预防作用。Objective To explore the preventive effect of continuous subcutaneous catheter suction drainage technology on fat liquefaction of abdominal incisions in obese patients. Methods 300 obese patients undergoing abdominal surgery in our department were selected from June 2004 to August 2009. The patients were randomly divided into the control group and the treatment group equally. In the control group, the patients were treated with the traditional incision suture method. In the treatment group,a drainage tube was placed between the anterior rectus sheath and subcutaneous fat, and then continuous suction drainage after abdominal operation was carried out. The incidence of fat lique- faction and wound healing were observed. Results The incidence of incision fat liquefaction in the treatment group was significantly lower,and the class A healing rate of incision was higher than in the control group（both P〈0. 01 ）. Conclusion The subcutaneous suction drainage technology has a better preventive effect on fat liquefaction of abdominal incisions in obese patients.

关 键 词：引流术 外科器械 对比研究 

分 类 号：R656[医药卫生—外科学]