直肠癌Miles术后会阴部切口感染的原因分析 |
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引用本文: | 池澈,马骥,熊在平,杨智文.直肠癌Miles术后会阴部切口感染的原因分析[J].山西临床医药,2014(11):830-832. |
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作者姓名: | 池澈 马骥 熊在平 杨智文 |
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作者单位: | 山西医科大学附属大同市第三人民医院,山西大同037000 |
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摘 要: | 目的:研究直肠癌术后会阴部切口感染的原因.方法:120例直肠癌患者均采用标准的Miles手术方式.A组:关闭盆底,经右下腹骶前间隙双套管负压吸引,间断夹闭尿管(5 d)的患者30例;B组:关闭盆底,经右下腹骶前间隙单管引流,间断夹闭尿管(5 d)的患者30例;C组:关闭盆底,经右下腹骶前间隙双套管负压吸引,持续开放尿管(5d)的患者30例;D组:不关闭盆底,经右下腹骶前间隙双套管负压吸引和间断夹闭尿管(5 d)的患者30例.结果:A、B、C、D组会阴部切口感染率分别为13.3%,23.3%,19.7%和20.0%.A组与B组、A组与C组、A组与D组比较,差异均有统计学意义(x2=1.105,P<0.05).结论:会阴部切口感染与术后骶尾前间隙积液引流是否通畅、骶尾前间隙残腔是否能及时闭合、盆底腹膜是否关闭均有关.
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关 键 词: | 直肠癌 Miles手术 会阴部切口感染 |
Clincil analysis on the causes of perineal wound infection in rectal cancer after Miles operation |
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Institution: | CHI Che, MA Ji, XIONG Zai - ping, YANG Zhi - wen (Shanxi Medical University Affiliated Datong Third Hospital, Datong 037001, China) |
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Abstract: | Objective:To study the causes of perineal wound infection in rectal cancer after Miles operation. Methods: One hundred and twenty patients with rectal cancer adopt standard means of Miles operation. Group A : closed the pelvic floor, the fight lower abdomen presacral space double pipe pressure suction, discontinuous closed urine tube (5 days) to 30 cases of patients. Group B:Closed the pelvic floor, the right lower abdomen presacral space single tube drainage, discontinuous close urine tube (5 days) to 30 cases of patients. Group C:Closed the pelvic floor, the Right lower abdomen presacral space double pipe pressure suction, continue to open the urine tube (5 days) to 30 cases of patients. Group D : Disclose the pelvic floor, the right lower abdomen presacral space double pipe pressure suction, discontinuous closed urine tube (5 days) to 30 cases of patients. Results:The perineal wound infection rate of group A, B, C and D was 13.3% ,23.3% , 19.7% and 20.0%. There was significient difference between group A and group B , between group A and group C , between group A and group D ( P 〈 0.05 ). Conclusion : Perineal wound infection presacral space is unobstructed fluid drainage, presaeral space residual cavity before is closed in time. Pelvic peritoneum is closed relation. |
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Keywords: | rectal cancer Miles operation perineal wound infection |
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