扩径引流装置在腹腔镜下胆囊切除术后腹腔引流中的应用效果观察  

Application and Efficacy of Expanded Caliber Drainage Device in Abdominal Drainage after Laparoscopic Cholecystectomy

作　　者：张颖[1] ZHANG Ying(Third Department of General Surgery,The People＇s Hospital of China Medical University,Shenyang 110016,Liaoning Province,China)

机构地区：[1]中国医科大学人民医院,沈阳110016

出　　处：《中国实用乡村医生杂志》2018年第9期69-72,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的观察一种扩径引流装置在腹腔置管引流中的临床效果及应用价值。方法回顾性分析2014年12月-2016年12月在辽宁省人民医院完成腹腔镜下胆囊切除术后腹腔引流患者的临床资料，按照引流装置的不同分为装置组（61例）和常规组（84例），装置组腹腔引流采用扩径引流装置，常规组腹腔引流采用传统方式。比较和分析两组患者的一般资料、病理学检查结果、围手术期临床资料，应用SPSS18．0进行统计学分析。结果两组患者一般资料比较，差异无统计学意义（P〉0．05）。装置组术中置管时间短于常规组，差异有统计学意义（P〈0．05）；装置组拔管后引流管处愈合时间和手术后住院时间短于常规组，差异有统计学意义（P〈0．05）；装置组引流管处疼痛程度低于常规组，差异有统计学意义（P〈0．05）。两组手术时间、排气时间、进食流质饮食时间、引流管留置时间以及引流管处感染情况差异无统计学意义（P〉0．05）。结论与常规的腹腔镜下胆囊切除术后腹腔引流相比，使用扩径引流装置缩短了术中置管时间，减轻了术后引流管处疼痛，缩短了引流处组织愈合时间及术后住院时间。Objective To observe the clinical efficacy and evaluate the clinical value of an expanded caliber drainage device in abdominal drainage. Methods The Clinical data of patients, which underwent abdominal drainage after laparoscopic cholecystectomy in the Department of General Surgery, The People＇s Hospital of Liaoning Provience from January 2014 to January 2016, were analyzed retrospectively. According to the different drainage technique, all patients were divided into device group （61 cases） and conventional group （84 cases）. The patients in device group adopted expanded caliber drainage device, and the patients in conventional group adopted conventional device. The characteristics, pathological examination, and preoperative data were compared using SPSS 18.0 software. Results There were no significant differences in clinical characteristics between two groups （P〉0.05）. The cathetering time in device group was significantly shorter than conventional group （P〈0.05）. The healing time after extubation in device group and hospital stays in device group were significantly less than conventional group （P〈0.05）. The pain intensity at drainage site in device group was lower than conventional group （P〈0.05）. There were no significant differences in operation time, evacuation time, liquid diet time, indwelling time of drainage tube and infection at drainage site （P〉0.05）. Conclusion Compared with traditional abdominal drainage after laparoscopic cholecystectomy, expanded caliber device could reduce cathetering time, alleviate pain intensity of drainage site, shorten healing time and hospital stays.

关 键 词：腹腔镜胆囊切除 腹腔引流 扩径引流装置 

分 类 号：R657.4[医药卫生—外科学]