持续负压球引流治疗切口皮下大量积液的效果观察  

Effect observation of continuous negative pressure drainage in the treatment of large amount of subcutaneous effusion in the incision

作　　者：钟永福 李英 肖明根 王小兰 

机构地区：[1]江西省宜春市中医院泌尿外科,江西宜春336000

出　　处：《中国当代医药》2016年第33期20-22,共3页China Modern Medicine

基　　金：江西省宜春市社会发展类科技计划项目(JXYC2015KSB040)

摘　　要：目的 探讨应用持续负压球引流治疗切口皮下大量积液的临床效果。方法 将2010年5月~2016年5月我院36例切口皮下严重感染积脓或其他原因致单纯大量积液的患者,按照不同的处理切口方法分成负压球组（n=15）和开放换药组（n=21）。负压球组采用持续负压球引流治疗,开放换药组采用传统撑开引流换药的方法治疗,比较两组积液腔愈合时间、换药次数、瘢痕宽度。结果 负压球组从置管负压球引流治疗至拔管时间为7~12 d,平均住院时间为9 d;每例换药2~4次;所有切口愈合后都是线形瘢痕。开放换药组从敞开引流至伤口愈合时间为15~25 d,平均住院时间为15 d;每例换药9~26次,平均15次。负压球组换药次数明显比开放换药组更少;在治愈时间、瘢痕宽度也明显比开放换药组更优,,差异有统计学意义（P〈0.05）。结论 负压球组明显缩短了伤口治愈时间,减少了换药次数,减轻了患者痛苦,减少了医生工作量,伤口愈合后瘢痕小,外观美观,值得临床推广应用。Objective To discuss the clinical effect of continuous negative pressure drainage in the treatment of large amount of subcutaneous effusion in the incision.Methods From May 2010 to May 2016,36 patients with subcutaneous infection empyema or other reasons causing simple large effusion were divided into negative pressure ball group （n=15） and open dressing group （n=21） according to different incision treatment methods in our hospital.Patients in the nega- tive pressure ball group were taken continuous negative pressure drainage treatment and in the open dressing group were used traditional methods of open drainage dressing treatment ,healing time,dressing change times and scar width of two groups were compared.Results Time from the negative pressure ball drainage treatment to extubation in the nega- tive pressure ball group was 7-12 d,the average length of stay was 9 d;2-4 times of dressing change in each case;all wound healing were linear scar.Time of wound healing in the open dressing group ranged from 15 to 25 d,the average length of stay was 15 d;9 to 26 times of dressing change in each case,with an average of 15 times.Dressing change times in the negative pressure ball group was significantly less than that in the open dressing group,healing time and scar width was significantly better than that in the open dressing group,and the difference was statistically significant （P〈O.05）.Conclusion Negative pressure ball group are effective in shortening time of healing,reducing times of dressing change,easing pain of patients,decreasing workload of doctors,healing with litter sear and beautiful appearance,so it is worthy of clinical application.

关 键 词：切口皮下积液 持续负压球引流 愈合时间 换药频次 瘢痕宽度 

分 类 号：R632[医药卫生—外科学]