腹腔引流术在胃癌根治术后应用的必要性探讨  

Necessity of Abdominal Drainage after Radical Gastrectomy

作　　者：宋益锋 马煜[1] 

机构地区：[1]浙江省嵊州市人民医院外一科,浙江嵊州312400

出　　处：《中国现代医生》2011年第1期93-94,共2页China Modern Doctor

摘　　要：目的探讨腹腔引流术在胃癌根治术后应用的必要性。方法自我院2006年7月～2009年7月收治的胃癌手术患者中随机抽取148例,并随机分为两组。无腹腔引流组(74例)不放置腹腔引流管,腹腔引流组(74例)常规放置腹腔引流管。均采用胃癌D2根治术,使用相同的围手术期处理方法。观察两组术后并发症发生率及术后恢复情况。结果无腹腔引流组与腹腔引流组相比,术后肛门排气时间、术后停胃肠解压时间及术后住院时间差异均无统计学意义(P>0.05)。两组术后均无死亡病例,术后并发症发生率差异无统计学意义(P>0.05)。结论胃癌根治切除术后腹腔引流术的应用没有必要性。Objective To explore whether abdominal drainage is necessary after gastric cancer surgery. Methods From July 2006 to July 2009,148 patients who underwent D2 gastric cancer surgeries in our hospital were retrospectively divided into the drainage group （n=74） and the non-drainage group（n =74）. The incidence of postoperative complications and the time of postoperative recovery were compared between the two groups. Results There was no difference in the postoperative exhaust time,the postoperative gastrointestinal decompression,the hospital stay and the incidence of postoperative complications between the two groups（P〉0.05）. Conclusion The abdominal drainage is unnecessary after gastric cancer surgery.

关 键 词：胃癌 腹腔引流 术后并发症 

分 类 号：R656[医药卫生—外科学]