| Miles术后会阴开放切口处理方法的改进 |
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| 引用本文： | 黄平,杨小冬,王锋,高一飞,沈杰,李德川,楼荣灿,陈贤贵.Miles术后会阴开放切口处理方法的改进[J].中国现代手术学杂志,2009,13(4). |
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| 作者姓名： | 黄平 杨小冬 王锋 高一飞 沈杰 李德川 楼荣灿 陈贤贵 |
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| 作者单位： | 1. 南京医科大学第一附属医院普外科,南京,210029
2. 浙江省肿瘤医院大肠癌外科,杭州,310022 |
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| 摘 要： | 目的介绍Miles术后会阴开放切口处理的改进方法,总结其疗效。方法29例直肠癌Miles术后会阴切口渗液直接开放引流,骶前渗液13例经尾骨前烟卷引流(A组),16例经右髂部乳胶管引流(B组)。结果两组病人术后均无任何与骶前或会阴切口感染相关的并发症发生。B组术后会阴切口不需内置引流条换药,A、B两组会阴切口愈合时间分别为(73.2±6.5)d和(71.4±3.3)d,组间比较无统计学差异(P>0.05)。结论对Miles术后会阴开放切口渗液予直接开放引流、骶前渗液经右髂部乳胶管引流,可减轻病人的痛苦,且极大地节省了外科医师的工作量。
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| 关 键 词： | 直肠肿瘤 Miles术 引流术 |
The Improvements in the Management of Open Perineal Wound after Miles Operation |
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| HUANG Ping,YANG Xiao-dong,WANG Feng,GAO Yi-fei,SHEN Jie,LI De-chuan,LOU Rong-can,CHEN Xian-gui.The Improvements in the Management of Open Perineal Wound after Miles Operation[J].Chinese Journal of Modern Operative Surgery,2009,13(4). |
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| Authors: | HUANG Ping YANG Xiao-dong WANG Feng GAO Yi-fei SHEN Jie LI De-chuan LOU Rong-can CHEN Xian-gui |
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| Institution: | HUANG Ping; YANG Xiao-dong; WANG Feng; GAO Yi-fei; SHEN Jie; LI De-chuan; LOU Rong-can; CHEN Xian-gui(Department of General Surgery; The First Affiliated Hospital of Nanjing Medical University; Nanjing 210029; Jiangsu; China); |
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| Abstract: | Objective To summrize the experiences of managements of open perineal wound and presacral drainage in the patients after Miles operation. Methods A total of 29 patients with rectal cancer were undergone Miles operation and the perineal wound was left open.A pre-coccygeal cigaret-like carbasus was used for the presacral drainage in 13 patients(group A) and a rubber tube was put for the presacral drainage through the right iliac region in the other 16 patients(group B). Results No infectious complications cor... |
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| Keywords: | rectalneoplasms Miles proredure drainage |
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