探讨“十字型”负压引流管在预防胸部切口脂肪液化的应用价值  

Exploring the Application Value of the Cross Negative Pressure Drainage Tube in Preventing Fat Liquefaction for Thoracic Incision

作　　者：刘召[1] 李春[1] 康迪[1] 王立[1] 边拜[1] 

机构地区：[1]新疆医科大学第六附属医院胸外科,乌鲁木齐830002

出　　处：《新疆医学》2017年第8期902-904,共3页Xinjiang Medical Journal

摘　　要：目的探讨"十字型"负压引流管在预防胸部切口脂肪液化的的可行性。方法回顾性分析2016年1月-2017年1月在新疆医科大学第六附属医院胸外科手术治疗的168例具有脂肪液化风险的患者,分为置管组和无管组,比较两组手术方式的脂肪液化发生率、异物感发生率、切口平均愈合时间、术后住院天数等指标。结果置管组术后脂肪液化发生率、切口愈合时间及术后住院时间与无管组相比,差异有统计学意义(P<0.05),置管组较无管组脂肪液化的发生率低;在切口愈合时间、术后住院天数的指标统计上,置管组均较短;两组切口异物感发生率相比,差异无统计学意义(P>0.05)。结论 "十字型"负压引流管预防切口脂肪液化等并发症是可行的、安全的,有一定的应用价值。Objective To explore the feasibility of the cross negative pressure drainage tube in preventing fat liquefaction for thoracic incision. Methods A retrospective analysis of 168 cases who had high risk factors for fat liquefaction and treated by thoracic surgery from January 2016 to January 2017 in the Sixth Affiliated Hospital of Xinjiang Medical University which divided into the catheter group and no tube group. To analyze the effectives of two treatment methods,by observing the fat liquefaction rate,foreign body sensation incidence,incision healing time,postoperative hospitalization and other indicators. Results The postoperative fat liquefaction rate,incision healing time and postoperative hospitalization time in the catheterization group were lower than that of the no control group,the difference was statistically significant（P0.05）. The catheterization group had lower incidence of fat liquefaction. The catheter group were shorter in incision healing time,postoperative hospitalization. But the incidence of foreign body sensation in two groups was not statistically significan（tP0.05）. Conclusion The cross negative pressure drainage tube in preventing fat liquefaction for thoracic incision is feasible and safe. So it has certain application value.

关 键 词：预防性负压引流 切口 脂肪液化 

分 类 号：R619[医药卫生—外科学]