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[延长剖腹手术伤口引流以减少肠道重建手术中化脓性败血症并发症的应用]

[Application of prolonged flow-aspiration drainage of laparotomy wounds in order to reduce suppurative septic complications in bowels reconstructive surgery].

作者信息

Shcherba S N, Polovinkin V V

出版信息

Vestn Khir Im I I Grek. 2014;173(4):83-6.

Abstract

The article presents the follow-up study of 254 onco-proctologic patients after reconstructive abdominoperitoneal resections. Patients were divided into 4 statistically homogeneous groups (2 main and 2 control groups). A comparative analysis of middle and lateral laparotomy wounds healing was made. Laparotomy wounds were stitched up using conventional method (in layers, tightly) and using other method of prolonged flow-aspiration drainage of hypodermic tissue. Postoperative wound infections were noted in 11.4% patients in case of conventional means. The prolonged flow-aspiration drainage in laparotomy wounds causes only 1.5% of complications.

摘要

本文介绍了对254例接受重建性腹盆腔切除术的肿瘤直肠病患者的随访研究。患者被分为4个统计学上同质的组(2个主要组和2个对照组)。对正中剖腹术和侧剖腹术伤口愈合情况进行了比较分析。剖腹术伤口采用传统方法(分层紧密缝合)和皮下组织持续负压吸引引流的其他方法进行缝合。采用传统方法时,11.4%的患者出现术后伤口感染。剖腹术伤口持续负压吸引引流仅导致1.5%的并发症。

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