De Salvo L, Arezzo A, Razzetta F, Tassone U, Mattioli F P
Istituto di Clinica Chirurgica, Università degli Studi di Genova.
Ann Ital Chir. 1998 Mar-Apr;69(2):165-7.
Drainage in thyroid surgery, although still controversial, is used at our service routinely, as it guarantees the output of serum, sometimes abundant after thyroidectomy, and allows the immediate check of hemorrhage. It is nevertheless known that the presence of drainage can favour the occurrence of infection of the surgical bed. Through a randomized trial, we tested the incidence of sepsis after thyroidectomy, using in one group a double open Silastic drain and in another group a double aspirative drain. We registered 3 cases of wound infection and 4 cases of seroma in the group treated with open drainage versus one case of wound infection and 2 cases of seroma in the group treated with aspirative drainage. Such difference, although evident, did not result significant. Nevertheless, it is our opinion to conclude that the aspirative draining system guarantees a better sterility of the surgical wound, and therefore a lower incidence of wound complications.
甲状腺手术中的引流，尽管仍存在争议，但在我们的科室是常规使用的，因为它能保证血清的排出，甲状腺切除术后有时血清量较多，并且能即时检查出血情况。然而，众所周知，引流的存在可能会增加手术床感染的发生率。通过一项随机试验，我们测试了甲状腺切除术后脓毒症的发生率，一组使用双开口硅胶引流管，另一组使用双吸引引流管。我们记录到，开放引流组有3例伤口感染和4例血清肿，而吸引引流组有1例伤口感染和2例血清肿。这种差异虽然明显，但并不显著。尽管如此，我们认为可以得出结论，吸引引流系统能保证手术伤口有更好的无菌状态，因此伤口并发症的发生率更低。
