甲硝唑腹腔冲洗在68例阑尾切除术中的应用分析

目的 :探讨在阑尾切除术中应用甲硝唑冲洗腹腔和腹壁各层以减少术后切口感染及肠粘连的发生机率。方法 :对 6 8例各型阑尾炎患者行阑尾切除术时 ,常规用 0 .5 %甲硝唑注射液冲洗腹腔和腹壁各层 ,腹腔中保留 5 0mL～10 0mL ,不放引流 ,术后常规应用抗生素。结果 :6 8例各型阑尾炎患者无一例切口感染 ,随访 6个月均无肠粘连发生 ,效果良好。结论 :在阑尾切除术中应用甲硝唑冲洗腹腔和腹壁各层可有效减少术后切口感染及肠粘连的发生 ,应作为常规使用

The Application Analysis of Abdominal Flush with Metronidazole in 68 Cases of Appendectomy

Objective To study in appendectomy using metronidazole flush abdominal and each layer of abdominal wall to reduce the rates of intestinal adhesion and infection of incisional wound.Material and Methods In 68 cases each type of appendicitis, the normal regulations using 0.5 % injection of metronidazole to flush abdominal and each layer of abdominal wall,reserving in the belly cavity 50-100 mLs, do not put drainage tube, after the appendectomy normal regulations using antibiotics.Result 68 cases each type of examples appendicitis sufferer neither the example slices an infection, with visit 6 months to all have no intestinal adhesion occur, the result is good.Conclusion In appendectomy using metronidazole to flush abdominal and each layer of abdominal wall can reduce the rates of intestinal adhesion and infection of incisional wound, should be used as the normal regulations usage.