短期应用多侧孔硅胶引流管预防腹部肥胖者重症阑尾炎术后切口感染研究  

Short term applications of silica-drainage tube with multipe side hole to prevent postoperative incision infection in abdominal obesity patients with severe appendicitis

作　　者：陆志成[1] 徐亮[1] 周栋[1] 

机构地区：[1]江苏省常熟市中医院,常熟215500

出　　处：《临床医学》2012年第3期19-20,共2页Clinical Medicine

摘　　要：目的探讨术中切口内短期放置多侧孔硅胶负压引流管对预防腹部肥胖者重症阑尾炎切除术后切口感染的效果。方法将68例腹部肥胖的重症阑尾炎患者随机分成两组,术中均予以1%碘伏冲洗切口并浸湿2 min,引流管组给予切口旁放置多侧孔硅胶负压引流管,对照组于切口脂肪层内放置皮片,术后观察两组切口的感染情况。结果引流管组切口感染率为2.8%(1/36),对照组为12.5%(4/32),两组比较差异有统计学意义(P<0.05)。结论术中切口内短期放置多侧孔硅胶负压引流管能显著降低腹部肥胖者重症阑尾炎术后切口感染率。Objective To investigate the effect of short term applications of silica drainage tube with multipe side hole on the prevention of postoprative incision infection in abdominal obesity patients with severe appendicitis.Methods Sixty-eight bdominal obesity patients with severe appendicitis were randomly divided into two groups.The incision were washed with 1% iodophor and the sorking time was 2 min intraoprative.Drainage tube was placed adjacent to the incision in the drainage tube group,and the skin graft was placed in incision fat layer in the control group.Postoperative incision infection in the two groups were observed.Results The incision infection rate in drainage tube group was 2.8%（1/36）,that in the control group was 12.5%（4/32）,there was significant difference between the two groups（P〈0.05）.Conclusion Placement of drainage tube intraoperative can significantly reduce the postoperative incision infection rate in abdominal obesity patients with severe appendicitis.

关 键 词：切口感染 重症阑尾炎 腹部肥胖 

分 类 号：R656.8[医药卫生—外科学]