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使用聚乙醇酸(德克松)缝线进行单层结肠吻合术:一项为期3年的前瞻性审计

One-layer colonic anastomosis with polyglycolic acid (Dexon) suture: a 3-year prospective audit.

作者信息

Motson R W, Bolwell J S, Heath A L, Makin C A, Al Sawaf H

出版信息

Ann R Coll Surg Engl. 1984 Jan;66(1):19-21.

Abstract

Fear of leakage has inhibited many surgeons from performing one-layer anastomosis with a continuous absorbable suture for the outer layer. Ninety-three one-layer colonic anastomoses were performed using polyglycolic acid sutures in 92 patients. Mortality was low (1.1%) and intra-abdominal septic complications occurred in only 4 patients (4.4%). Superficial wound infections occurred in a further 6 patients (6.5%). The mean postoperative hospital stay was 13.2 d with more than 79% being discharged in 15 d.

摘要

对渗漏的担忧使得许多外科医生不敢用连续可吸收缝线进行外层的单层吻合术。92例患者共进行了93例使用聚乙醇酸缝线的结肠单层吻合术。死亡率较低(1.1%),仅4例患者(4.4%)发生腹腔内感染并发症。另有6例患者(6.5%)发生浅表伤口感染。术后平均住院时间为13.2天,超过79%的患者在15天内出院。

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