阑尾炎术中切除创面脂肪预防切口感染的研究  

Study on removal of incision surface adipose tissue to reduce risk of incision infection in the appendectomy

作　　者：庞国栋[1] 刘晓芳 宁继鹏[1] PANG Guo-dong;LIU Xiao-fang;NING Ji-peng(Department of General Surgery,Laiwu steel Group Hospital,Laiwu,Shandong,271100)

机构地区：[1]莱芜钢铁集团有限公司医院普外科,山东莱芜271100

出　　处：《临床普外科电子杂志》2018年第2期16-18,共3页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的评估阑尾炎术中通过切除创腔表面脂肪的方法预防切口感染的效果。方法选取莱芜钢铁集团有限公司医院2016年9月至2017年9月因"急性阑尾炎"行阑尾切除术患者106例,随机分为两组,试验组54例,对照组52例,对照组术中应用切口保护膜、生理盐水冲洗等常用方法预防切口感染,试验组患者除上述方法外,还需清除创腔表面脂肪。术后第7天拆线观察两组切口感染情况,通过χ2检验对试验结果进行分析。结果试验组无切口感染,对照组感染6例,占11.5%(6/52),两组比较统计学上差异有显著性(P<0.05)。结论通过清除创腔表面脂肪,能清除术中沾染的细菌及坏死的脂肪细胞,降低术后脂肪液化、刀口感染的风险,从而显著降低阑尾炎手术切口感染率。Objective To evaluate the effect of removing incision surface adipose tissue to prevent incision infection in the appendectomy.Methods One hundred and six patients were selected who accepted appendectomy for acute appendicitis in our hospital from September 2016 to Septemberr 2017.The patients were randomly divided into two groups.In the control group,fifty two cases were treated with surgidrape adhensive membrane and Saline rinse to reduce risk of incision infection in the Appendectomy.In the trial group,fifty four patients were needed to remove the surface fat surface in addition to accept the above method.The results were analyzed by chi-square test.Results No incision infection in the test group,and 6 cases were infected in the control group,Accounting for 11.5%(6/52).There was significant difference between the two groups(P<0.05).Conclusion Removal of the surface fat can significantly reduce the rate of incision infection in the appendectomy by clearing contaminated bacteria and necrotic fat cells.

关 键 词：阑尾炎 脂肪 切口感染 

分 类 号：R619.3[医药卫生—外科学]