直肠癌腹会阴联合切除术中的高真空引流及会阴伤口一期缝合

High-vacuum drainage and primary perineal wound closure in abdominoperineal excision of the rectum.

作者信息

Brummelkamp W H, Taat C W, Slors J F

机构信息

Department of Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.

出版信息

Neth J Surg. 1991;43(6):236-9.

PMID:1812417

Abstract

The result of perineal wound healing after rectal excision with primary perineal closure by high-vacuum drainage was studied prospectively. High vacuum drainage was performed via a wide-bore catheter (Ch. 27) placed through a stabwound on the thigh. The method was applied in 114 of 127 patients who had abdominoperineal excision of the rectum (89.7 per cent). Contra-indications were inadequate haemostasis and pre-existing massive perineal sepsis. Primary perineal wound closure was present in 85.9 per cent of patients, delayed healing in 12.3 per cent and a perineal sinus developed in two patients (1.8 per cent).

摘要

我们对直肠切除术后采用高负压引流进行会阴一期缝合的会阴伤口愈合结果进行了前瞻性研究。高负压引流通过一根粗口径导管（27号）经大腿的一个戳创置入。该方法应用于127例行腹会阴联合直肠切除的患者中的114例（89.7%）。禁忌证为止血不充分和既往存在严重的会阴感染。85.9%的患者实现了会阴伤口一期愈合，12.3%的患者愈合延迟，2例患者（1.8%）出现了会阴窦道。