自制双套管持续负压冲洗引流在肝脏手术中的应用

目的:比较肝胆手术后两种腹腔引流管的应用效果。方法:将我院2005年5月～2007年3月间行肝脏手术病人106例随机分为实验组(57例)和对照组(49例),实验组采用自制双套管持续负压冲洗引流,对照组采用传统的单腔腹腔引流管引流,分析、比较两组引流的疗效。结果:采用双套管负压冲洗引流的病人发生引流管堵塞3例,隔下感染及积液4例,采用传统的单腔腹腔引流管引流的病人发生引流管堵塞12例,隔下感染及积液15例,差异有统计学意义(P<0.05)。结论:肝脏手术后应用双套管持续负压冲洗引流在防止引流管堵塞、隔下感染疗效优于传统的单腔腹腔引流管引流。

The Application of Double Using Nagative Pressure Drainage-tube Used in Hepatic Operation

Objective:To investigate the drainage effect between the double using nagative pressure drainage-tube and the traditional single-peritoneal cavity drainage tube in post-hepatic operation.Methods:One-hundred and six patients with hepatic operation between May 2005 to March 2007 were randomly divided into the experimental group(57 cases)and the control group(49 cases).The experimental group used double using nagative pressure drainage-tube,and the control group used the traditional single-peritoneal cavity drainage tube,and the curative effect between the two groups were analyzed.Results:In the experimental group there were in 3 cases the was drainage obstructed and 4 case of subphrenic infection.In the control group,in 12 cases the drainage was obstructed,15 cases having subphrenic infection and collections and the difference was statistically significant(P<0.05).Conclusion:The drainage effect by using the double using nagative pressure drainage-tube was much better than from using the traditional single-peritoneal cavity drainage tube in post hepatic operation.