穿孔性阑尾炎腹腔镜术后十字引流管对比烟卷引流的疗效分析  

Comparing the Effect of Cross Drainage Tube with Cigarette Drainage after Laparoscopic Appendectomy for Perforated Appendicitis

作　　者：李彪章 吴振宏 LI Biao-zhang;WU Zhen-hong(Department of general surgery,Zhongshan Dongsheng Hospital,Zhong shan Guangdong,528414,China)

机构地区：[1]中山市东升医院普通外科,广东中山528414

出　　处：《承德医学院学报》2020年第6期472-475,共4页Journal of Chengde Medical University

摘　　要：目的比较穿孔性阑尾炎腹腔镜切除术后十字引流管对比烟卷引流的疗效。方法选择我院2017年6月~2019年6月行穿孔性阑尾炎腹腔镜切除术的130例患者作为研究对象,其中65例使用烟卷引流方式,另外65例采用了新型十字软硅胶引流管。观察术后并发症,包括腹腔脓肿,阑尾区包裹性积液,腹泻,伤口感染,二次返院比例。实验室指标包括WBC、CRP、降钙素原恢复正常天数。结果相比十字管组,烟卷组的术后总并发症发生较少,在术后腹腔脓肿,阑尾区包裹性积液,腹泻,二次返院等方面组间差异均有统计学意义(P<0.05),在伤口感染方面两组的区别不大,差异无统计学意义(P>0.05);相比十字管组,烟卷组的WBC、CRP、降钙素原恢复正常天数短,差异有统计学意义(P<0.05)。结论穿孔性阑尾炎腹腔镜术后,采用烟卷引流更有利于腹腔脓液的引出,减少腹腔残留感染的机会,有利于炎症指标的早期恢复。Objective To compare the effect of cross drainage tube with cigarette drainage after laparoscopic appendectomy for perforated appendicitis.Methods From June 2017 to June 2019,130 patients who underwent laparoscopic appendectomy for perforated appendicitis were selected as the study object,65 of them used cigarette drainage,and 65 of them used new cross drainage tube.Postoperative complications were observed,including abdominal abscess,encapsulated effusion in the appendix area,diarrhea,wound infection and the proportion of secondary return to hospital.The laboratory indexes include WBC,CRP and the days when procalcitonin returns to normal.Results Compared with the cross tube group,the total postoperative complications of the cigarette group were less,and there were statistically significant differences between the two groups in the following aspects(P<0.05),there was no significant difference in wound infection between the two groups(P>0.05);compared with the cross tube group,the WBC,CRP and procalcitonin in the cigarette group returned to normal quickly,and the difference was statistically significant(P<0.05).Conclusion Cigarette drainage is more conducive to the extraction of pus,reduce the occurrence of postoperative complications,and is better for early recoverys.

关 键 词：穿孔 阑尾炎 腹腔镜 引流管 烟卷引流 

分 类 号：R574.61[医药卫生—消化系统]