急性阑尾炎并腹膜炎术后不置腹腔引流对临床疗效的影响

目的探讨急性阑尾炎并腹膜炎术后不放置腹腔引流对临床疗效的影响.方法将810例急性阑尾炎并腹膜炎患者随机分为引流组和非引流组,比较术后两组切口感染、肠粘连等并发症的发生率.结果引流组与非引流组切口感染率分别为20.5%和5.7%(P＜0.01);肠粘连发生率引流组与非引流组分别为15.18%和3.16%(P＜0.01),引流组还存在拔管恐惧,大网膜随管带出体外等并发症.结论急性阑尾炎并腹膜炎术后不置腹腔引流较置腹腔引流更明显地降低术后并发症,值得临床推广应用.

Influences of peritoneal cavity non-drainage on clinical value in acute appendicitis with peritonitis

To study the clinical value of peritoneal cavity nondrainage in the operation of acute appendicitis with peritonitis. 810 patients were randomly divided into drainage group and non- drainage group. The wound infection?intestinal adhesion in the tow groups were observed and compared each other. The incidence rate of wound infection and intestinal adhesion were 20.5%, 15.18% in drainage group and 5.7%, 3.16% in non-drainage group (P <0.01). There were some complications such as afraid and momentum prolapsed observed in drainage group when the tube removed. Conclusions] There are lower postoperative complications in non-drainage group than. drainage group after the operation of acute appendicitis with peritonitis, which can be put into practice in clinic.