直肠癌Miles术后骶前冲洗治疗

The treatment of presacral space clysis in rectal cancer cases with Miles operation

目的:探讨骶前冲洗预防腹会阴联合直肠癌切除术(Miles术)后会阴部伤口感染的效果。方法:比较Miles术后传统方法处理会阴部伤口组和骶前冲洗组的疗效差异,并对伤口不良愈合的危险因素进行分析。结果:骶前冲洗组的精神状态恢复时间、血浆引流管保留时间、抗生素使用时间、体温升高时间、伤口愈合时间、住院时间均短于传统处理组,骶前冲洗组的换药次数、伤口二期缝合例数、伤口丙级愈合例数均少于传统处理组,以及骶前冲洗组的伤口不良愈合几率是传统处理组的0.136倍。结论:骶前冲洗能够显著降低Miles术后会阴部伤口感染率。

Objective：To investigate the effectiveness of presacral space clysis in preventing wound infection of rectal cancer cases with Miles operation. Methods：We made a comparison between the presacral space clysis group and the tradional treatment group on the therapy effectiveness, and made a risk factor analysis about wound infection. Results：The time of vim convalescence, draining, antibiotics use, fervescence, intention, hospitalization were all shorter in the presacral space clysis group than that in the tradional treatment group.The times of dressing wound and the number of secondary suture and C healing were all smaller in the presacral space clysis group than that in the tradional treatment group.And the infection rate of the former was 0.136 times of the latter. Conclusion：Presacral space clysis can significantly degrade the infection rate in rectal cancer cases with Miles operation.