多切口加双套管负压引流术在骨盆直肠间隙脓肿术后应用的临床效果  

Clinical Analysis of Multiple Incision Plus Double Cannula Negative Pressure Drainage in the Treatment of Pelvic Rectal Space Abscess after Operation

作　　者：吴文宗[1] 廖星明[1] WU Wenzong;LIAO Xingming(The Second Hospital of Sanming,Yong’an 366000,China)

机构地区：[1]三明市第二医院

出　　处：《中外医学研究》2019年第29期25-27,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨多切口加双套管负压引流技术在骨盆直肠间隙脓肿术后应用的临床效果。方法:选取笔者所在医院2015年3月-2019年3月收治的87例骨盆直肠间隙脓肿手术患者为研究对象,采用双套管负压引流的45例患者为观察组,采用常规乳胶管引流的42例患者为对照组。两组均行切开排脓术治疗,观察患者术后肛门功能恢复情况、康复速度、并发症发生率及满意度。结果:术后14 d,观察组VAS评分(1.01±0.02)分,Wexner评分(2.14±0.03)分,肉芽生长(4.36±0.13)级,切口愈合时间(23.15±2.30)d,引流时间(7.21±0.15)d,住院时间(14.11±0.51)d,感染率2.22%,延期愈合率2.22%,满意度97.78%,均明显优于对照组,差异有统计学意义(P<0.05)。结论:多切口加双套管负压引流技术应用于骨盆直肠间隙脓肿术后,可有效减轻疼痛,预防肛门失禁,促进肉芽生长,缩短引流时间和住院时间,促进切口愈合,降低并发症发生率,提高患者满意度,值得临床推广。Objective:To investigate the clinical effect of multiple incision plus double cannula negative pressure drainage on pelvic rectal space abscess after operation.Method:A total of 87 patients with pelvic and rectal space abscess who were admitted in our hospital from March 2015 to March 2019 were selected as the study subjects.45 patients who received double-cannula negative pressure drainage were selected as the observation group,and 42 patients who received conventional latex tube drainage were selected as the control group.The two groups were treated with incision and purulent operation.The recovery of anal function,recovery rate,complication rate and satisfaction were observed.Result:The VAS score(1.01±0.02)points,Wexner score(2.14±0.03)points,granulation growth(4.36±0.13)grade,incision healing time(23.15±2.30)d,drainage time(7.21±0.15)d,hospital stay(14.11±0.51)d,infection rate 2.22%,delayed healing rate 2.22%and satisfaction rate 97.78%in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Multiple incision plus double cannula negative pressure drainage applied to pelvic rectal space abscess surgery,can effectively relieve pain,prevent anal incontinence,promote granulation growth,shorten the drainage time and hospital stay,promote incision healing,reduce the incidence of complications,improve patient satisfaction,worthy of clinical promotion.

关 键 词：双套管负压引流术 骨盆直肠间隙脓肿 乳胶管引流 

分 类 号：R657.1[医药卫生—外科学]