腹腔引流在脾切除术后应用的必要性探讨  

The Study on the Application of Abdominal Drainage after Spleen Resection

作　　者：刘志高[1] 王宗喜[1] 渠时学 

机构地区：[1]江苏省丰县人民医院,江苏丰县221700

出　　处：《河北医学》2010年第10期1189-1192,共4页Hebei Medicine

摘　　要：目的:探讨腹腔引流在脾切除术后应用的必要性。方法:回顾性分析我院普外科自2005年6月至2009年6月连续实施的210例脾切除术患者按时间顺序分成引流组(120例),和非引流组(90例)。分析比较患者术前因素,术中因素术后并发症和住院时间。结果:两组患者术前各项指标较为接近,差异无统计学意义(P>0.05)。术后并发症具备可比性,引流组和非引流组,死亡率分别为0.8%和1.1%,异无统计学意义(X2=0.042,P>0.05)外科并发症引流组明显高于非一流组,尤其胸腔积液和腹水渗出,两组比较差异有统计学意义(P<0.05);其余的外科并发症差异无统计学意义P>0.05)。两组患者的内科学并发症发生率比较,差异无统计学意义。(X2=0.338,P>0.05)住院时间引流组(13.1±5.2)d,非引流组(11.4±5.6)d,差异比较无统计学意义(t=1.918,P>0.05)。结论:本组结果表明脾切除后放置腹腔引流没有必要,甚至会增加术后并发症。Objective： To investigate the application of abdominal drainage after spleen resection.Method： From Jun.2005 to Jun.2009,210 consecutively admitted patients underwent spleen resection by the same surgical team were allocated into drainage group（120） and non-drainage group（90）.Patient＇s preoperative characteristics,operation-related factors,postoperative complications and hospital stay were compared between the two groups.Result： Postoperative complications were comparable between the two groups,which was not significantly different among preoperative characteristics and operation-related factors（P〉0.05）.Mortality was 0.8% in drainage group and 1.1% in non-drainage group,again,the difference was not significant（Х^2=0.042,P〉0.05）.Surgical complications were significantly higher in drainage group than in non-drainage group,especially for pleural effusion and ascites occurrence（P〈0.05）.Internal medicine two groups of patients the incidence of medical complications compared with no significant difference（Х^2=0.338,P〉0.05）.The hospital stay was significantly longer in the group（13.1±5.2）days than non-drainage group（11.4±5.6）days.Conclusion： Postoperative abdominal drainage is not necessary for patients undergoing spleen resection,furthermore,abdominal drainage increases postoperative complications.

关 键 词：腹腔引流术 脾切除术 术后并发症 

分 类 号：R657.6[医药卫生—外科学]