切口负压伤口治疗对腹会阴联合直肠癌根治术后会阴伤口愈合的影响。
Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation.
作者信息
Wiegering Armin, Dietz Ulrich A, Corteville Caroline, Plaßmeier Lars, Jurowich Christian, Germer Christoph-Thomas, Krajinovic Katica
机构信息
Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, Julius-Maximilians-University, University of Wuerzburg, Oberduerrbacherstr.6, 97080, Wuerzburg, Germany.
Department of Biochemistry and Molecular Biology, University of Wuerzburg, Am Hubland, 97074, Wuerzburg, Germany.
出版信息
Int J Colorectal Dis. 2017 Feb;32(2):291-293. doi: 10.1007/s00384-016-2704-5. Epub 2016 Nov 14.
INTRODUCTION
Perineal wound healing disorders are one of the major complications following abdominoperineal rectum extirpation.
METHODS AND RESULTS
We evaluated the impact of an "incisional negative pressure wound therapy" (iNPWT) system after abdominoperineal rectum extirpation in six patients. All patients had a neoadjuvant radiochemotherapy with 50.4 Gy and 5-FU. Five of the six patients (83%) experienced complication-free healing of the perineal wound after 5 to 12 days of iNPWT. One patient developed a wound healing disorder 8 days after abdominoperineal rectum extirpation during current iNPWT.
DISCUSSION
Use of an iNPWT system can be of favor after abominoperineal rectum extirpation.
引言
会阴伤口愈合障碍是腹会阴直肠切除术后的主要并发症之一。
方法与结果
我们评估了6例患者在腹会阴直肠切除术后使用“切口负压伤口治疗”（iNPWT）系统的效果。所有患者均接受了50.4 Gy的新辅助放化疗及5-氟尿嘧啶治疗。6例患者中有5例（83%）在iNPWT治疗5至12天后会阴伤口实现无并发症愈合。1例患者在本次iNPWT治疗期间，于腹会阴直肠切除术后8天出现伤口愈合障碍。
讨论
腹会阴直肠切除术后使用iNPWT系统可能有益。
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