自制引流器在降低结肠造瘘术后手术部位感染中的应用

目的探讨自制引流器在降低结肠造瘘术后手术部位感染中的作用。方法回顾性分析我院自2002年1月至2008年10月间各类型结肠造瘘手术病例155例,其中83例使用自制肠引流器进行造瘘口引流,72例使用行常规引流,对两组患者的切口感染率和平均手术后住院时间进行比较。结果与使用粘贴型肛门袋相比,使用自制引流器能明显减少手术部位感染率,两者相比具有明显的统计学意义。结论在结肠造瘘术后用自制引流器进行造瘘口引流,可以明显减少结肠造瘘术后手术部位感染。

Objective To study the effect of the self--made drainage device in decrease the surgical site infection（SSI） rate after colostomy.Methods 155 patients underwent the colostomy surgery in our hospital through January 2002 to October 2008.83 patients underwent the use of the self-made drainage device and 72 patients underwent the traditional use of artificial anus bag.The surgical site infection（SSI）rates between the two was compared.Results Compared with the use of artificial anus bags, the use of self-made drainage devices has lower surgical site infection（SSI）rate.The statistical significance is obvious in this comparison.Conclusion The self-made drainage device is helpful to the decrease of surgical site infection rate.