甲状腺手术引流方式探讨

目的比较甲状腺术后采用不同引流方式的优缺点。方法 278例甲状腺手术分别采用皮片引流、半管引流及小儿T管负压引流方式,比较不同引流方式在术后的引流效果及相关并发症情况,评估其优缺点。结果 278例患者中切口放置皮片引流101例,半管引流78例,小儿T管负压引流99例。3组各有2、1、1例出现伤口血肿或术后出血。3组术后平均引流量无明显差别。T管组术后48h只需拔管换药一次,明显少于皮片组及半管引流组。结论甲状腺术后采用小儿T管组的引流效果好,便于临床观察,且可保持伤口清洁,值得临床推广应用。

Objective To determine the effects of inserting a drain during thyroid surgery.Methods 278 cases of thyroid surgery used flap drainage,cut-catheter drainage and T-tube drainage under negative pressure respectively,evaluated the effects after surgery and the complications happened.Results There were 101 cases with flap drainage,78cases with cut-catheter drainage and 99cases with T-tube and the cases of haemorrhage post-surgery were 2,1,1 respectively.The average drain volume in these three groups had no difference.The frequency of changing dressings past-surgery in T-tube group was only one time which was less than other groups obviously.Conclusion The group used T-tube drainage during thyroid surgery have a predominant effect because the wound can be observed conversely and maintained cleanliness,is worthy of promotion in clinical practice.