穿孔性阑尾炎术后不放置腹腔引流112例疗效观察

Non-drainage in Peritoneal Cavity after Appendectomy on 112 Patients with Perforating Appendicitis

目的探讨穿孔性阑尾炎术后不放置腹腔引流对临床疗效的影响.方法将196例穿孔性阑尾炎患者随机分为引流组和非引流组,比较术后两组切口感染、肠粘连发生率以及术后病人的住院天数.结果引流组与非引流组切口感染率分别为19.0%和8.0%(P<0.05);肠粘连发生率引流组与非引流组分别为10.7%和4.5%(P<0.05);腹、盆腔残余脓肿的发生率分别为1.1%和1.2%(P>0.05);引流组与非引流组病人术后住院天数分别为(9.3±2.7)d和(5.1±1.9)d(P<0.05),引流组还存在拔管恐惧、脱管等并发症.结论穿孔性阑尾炎术后不放置腹腔引流更明显地降低术后并发症,且明显缩短住院天数.

acute perforating Objective To study the clinical value of peritoneal cavity non - drainage after the operation of appendicitis. Methods 196 patients with perforating appendicitis were randomly divided into drainage group and non - drainage group. The incidence rates of wound infection and ankylenteron and hospital durations in the two groups were observed and compared with each other. Results The incidence rate of wound infection and ankylenteron were 19.0%, 10. 7% in the drainage group and 8.0%, 4. 5% in the non - drainage group respectively （P 〈 0. 05 ）. The incidence rate of residual abscess in abdominal or pelvic cavity were 1.1% and 1.3% respectively （ P 〉 0. 05 ）. The mean postoperative hospital stay of the drainage group was （9. 3 ± 2. 7） days, which was significantly longer that of the non - drainage group （5. 1 ±1.9 ） days, P 〈 0. 05 ）. There were some complications such as fear for extubation and prolapse in the drainage group. Conclusions There are less postoperative complication in the non -drainage group than the drainage group after the appendectomy on the patients with perforating appendicitis, which also significantly decrease the hospital duration.