应用负压引流预防嵌顿疝腹膜前间隙修补术后血清肿形成的研究  

Clinical research of the application of vacuum drain in the prevention of seroma after preperitoneal approach repair in incarcerated hernia

作　　者：陆朝阳[1] 王嘉倍[1] 王继洲[1] 

机构地区：[1]哈尔滨医科大学附属第一医院普外科,150001

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第5期351-354,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的研究负压引流装置预防嵌顿疝腹膜前间隙修补术后血清肿的发生。方法回顾性分析2007年3月到2011年5月,哈尔滨医科大学附属第一医院42例腹股沟嵌顿疝患者的临床资料。根据是否留置负压引流装置分为2组,实验组为留置负压引流装置,对照组则直接缝合,每组患者21例。观察2组术后血清肿或血肿发生情况,比较分析2组术后并发症等发生情况。结果负压引流组第1个12 h约有30~60 ml淡红色液体从引流管引流到负压引流装置内。第2个12 h引出了约20~30 ml淡黄色液体,第3个12 h引出了0~10 ml透明液体。负压引流组患者无血清肿发生,对照组有4例患者发生血清肿。术后感染和慢性疼痛等其他并发症,2组比较,差异无统计学意义(P<0.05)。术后住院时间2组比较,差异有统计学意义(t=-3.730,P=0.0006)。结论负压引流装置能够有效预防嵌顿疝腹膜前间隙修补术后血清肿形成并缩短住院时间。Objective To study the effects of vacuum drain in the prevention of seroma after preperitoneal approach repair in incarcerated hernia. Methods Clinical data of 42 cases with incarcerated inguinal herina admitted to First Affiliated Hospital of Harbin Medical University from March 2007 to May2011 were analyzed retrospectively. Patients were divided into two groups（ n = 21 in each group） according to whether the vacuum drainage device was applied. The incidence of seroma or hematoma after operation was observed and the incidence of postoperative complications was analyzed. Results In the drain group,approximately 30 to 60 ml of light red liquid was drainaged to the suction device in the first 12 hours,while about 20 to 30 ml of light yellow liquid was collected in the second 12 hours and about 0 to 10 ml of clear liquid in the third 12 hours. Seroma or hematoma was not complicated in vacuum drain group,in contrast 6 patients suffered from seroma in the control group. There were no significant differences between the two groups in the postoperative infection and chronic pain. Conclusions The application of vacuum drain can effectively prevent the formation of seroma after preperitoneal approach repair in incarcerated hernia.

关 键 词：嵌顿疝 腹膜前间隙 负压引流 血清肿 

分 类 号：R656.21[医药卫生—外科学]