一次性闭合高负压引流系统在甲状腺次全切除术引流中的应用  

Clinical study of a high vacuum wound drainage system in subtotal thyroidectomy

作　　者：袁强[1] 孙亮[1] 崔伟[1] 吕远[1] 曾继峰[2] 陈彩玲[1] 李世拥[1] 

机构地区：[1]北京军区总医院全军普通外科中心 [2]西藏自治区山南地区解放军第41医院普通外科

出　　处：《临床外科杂志》2015年第7期505-507,共3页Journal of Clinical Surgery

基　　金：国家自然科学基金资助项目(30772118)

摘　　要：目的观察甲状腺次全切除术后不同管径一次性闭合高负压引流系统的引流效果。方法采用单中心、单盲、随机对照临床设计方案，将我院普通外科中心自2012年2月1日-2014年10月31日收治的结节性甲状腺肿并行双侧甲状腺次全切除术的患者，随机分为3组，采用一次性闭合高负压引流系统引流，观察术后0—24小时、24～48小时引流量及2周内有无创腔或皮下积液。结果纳入统计分析的患者共79例，其中8号组25例、12号组28例、14号组26例。0-24小时内8号组引流量显著低于12号组及14号组，差异均具有统计学意义（P〈0．001）。48小时内8号组引流量显著低于12号组及14号组，差异均具有统计学意义（P〈0．001）。结论3种规格的引流管管径均能达到较好的引流效果，而8号引流管对创腔的刺激更小，推荐使用。Objective To evaluate the efficiency of a high vacuum wound drainage system in subtotal thyroidectomy. Methods The investigation was designed as a single-center, single-blind, random- ized and controlled clinical study. Patients undergoing subtotal thyroidectomy due to bilateral thyroid be- nign tumor were collected in our hospital from 1 st February, 2012 to 31 st October, 2014, and they were randomly divided into three groups. The high vacuum wound drainage system with different diameter of drainage tubes were utilized for each group. Wound cavity and subcutaneous hydrops were observed within the first 24 hours, the second 24 hours, and 2 weeks after operation. Results A total of 79 patients were obtained,including 25 cases with 8-Fr drainage tube, 28 cases with 12 - Fr drainage tube, and 26 cases with 14-Fr drainage tube. In the first and second 24 hours after operation, the drainage volume of patients with 8-Fr tube was significantly lower than those with 12-Fr or 14-Fr tube（ P 〈 0. 001 ）. Conclusions Three different specifications of drainage tubes are all effective, but the 8-Fr drainage tube is recommended for less mechanical stimulation on the wound cavity.

关 键 词：甲状腺肿瘤 手术切除 引流 

分 类 号：R653[医药卫生—外科学]