肝叶切除术后应用腹腔双套管负压吸引较单管引流效果效率比较

目的探讨肝癌患者行肝叶部分切除术后分别利用腹腔单、双套管负压引流效率比较。方法将80例肝叶部分切除患者随机分为实验组（n=40）和对照组（n=40）,术后实验组采用双套管行持续低负压引流,对照组行单管引流。结果实验组堵管3例（7.5%）,对照组堵管10例（25.0%）,肝区残余积液例数分别为8例和1例,两组病人之间术后引流管阻塞发生率及肝区残余积液差异有统计学意义（P〈0.05）。结论肝癌肝叶切除术后腹腔双套管负压引流,能保持有效的引流,并有效地降低堵管的发生率减少肝区残余积液。

Comparison of the Effect Between Abdominal Double Cannula and Abdominal Single Tube Drainage Adopted after Hepatolobectomy

Objective To compare the effects between abdominal double cannula and abdominal single tube drainage applied to hepatic carcinoma patients after partial hepatectomy. Methods 80 cases of hepatic carcinoma patients underwent partial hepatectomy were randomly divided into experimental group（n=40） and control group（n=40）. After partial hepatectomy, the experimental group were drained with central vacuum suction linked with abdominal double cannula and the control group linked with abdominal single cannula. Results 3 double cannulas were blocked in the experimental group, accounting for 7.5%, and 8 in the control group, accounting for 25.0%.The case of liver area residual effusion of the experimental group and control group was 8 and 1, respectively. There were statistically significant differences in the incidence of postoperative drainage cannula blockage and liver area residual effusion between the groups（P0.05）. Conclusion Abdominal double canula applied to patients with hepatic carcinoma after hepatectomy can maintain drainage, reduce the incidence of blockage and liver residual effusion effectively.