| 双管引流在坏疽穿孔性阑尾炎及阑尾周围脓肿手术中的应用 |
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| 引用本文： | 尚现章,章跃民,尹丛,杨杰,张杰.双管引流在坏疽穿孔性阑尾炎及阑尾周围脓肿手术中的应用[J].腹部外科,2009,22(1):35-36. |
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| 作者姓名： | 尚现章 章跃民 尹丛 杨杰 张杰 |
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| 作者单位： | 武警广东省总队医院普外科,广州,510507 |
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| 摘 要： | 目的比较坏疽、穿孔性阑尾炎及阑尾周围脓肿术后双管引流和非引流的临床疗效。方法选择2006年1月至2008年8月我院收治的坏疽、穿孔性阑尾炎及阑尾周围脓肿80例，随机分为两组：双管引流组38例，非引流组42例；比较两种方法的腹腔脓肿发生情况、伤口感染率和住院时间。结果非引流组发现1例腹腔脓肿，伤口感染率明显较双管引流组高（P〈0．01）；非引流组住院时间为（10．3±2．6）d，双管引流组住院时间为（7．2±1．9）d，两组比较差异有统计学意义（P〈0．05）。结论对于坏疽、穿孔性阑尾炎及阑尾周围脓肿，双管引流可以缩短病人住院时间，有效避免腹腔脓肿形成和伤口感染发生。
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| 关 键 词： | 阑尾炎 引流术 腹部脓肿 外科伤口感染 |
Application of double-tube drainage in patients with complicated appendicitis |
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| Institution: | SHANG Xian-zhang, ZHANG Yue-rnin ,YIN Cong , et al. (Department of General Surgery, Guangdong General Hospital of Chinese People＇s Armed Police Forces ,Guangzhou 510107,China) |
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| Abstract: | Objective To compare the clinical effectiveness of double-tube drainage management vs non-drainage in patients with complicated appendicitis. Methods Hospital records of 80 patients who underwent appendectomy between Jan.2006 and Aug. 2008 were reviewed. Double-tube drainage management was done in 38 patients（double-tube drainage group）, and the remaining didn＇t receive drainage（non-drainage group）. Incidence of surgical wound infection（SWI）, and abdominal abscess and length of stay （LOS）were compared between two groups. Results Patients with non-drainage had a higher incidence of SWI（P〈0. 01）and longer LOS（10. 3 ± 2. 6） days vs（7. 2 ± 1.9）days,P〈0. 05]. There was one case of abdominal abscess in non-drainage group. Conclusion Abdominal abscess and SWI can be avoided for complicated appendicitis with double-tube drainage management, and LOS was shorter. |
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| Keywords: | Appendicitis Drainage Abdominal abscess Surgical wound infection |
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