男性会阴部手术后伤口暴露疗法与伤口细菌感染和愈合情况的研究

The clinical study about the exposed therapy of the male＇s perineum and the circumstances of the germ infection and the heals of the wound after the operation

目的 探讨男性会阴部手术后伤口暴露疗法的可行性.方法 选择450例男性会阴部手术患者,其中250例术后伤口采用暴露疗法,200例术后伤口采用传统包扎疗法,术后观察伤口细菌感染和愈合情况,统计出伤口甲级愈合率,伤口细菌感染率,采用x2检验,用SPSS 17.0统计软件计算.结果 伤口甲级愈合率暴露疗法组为92.8%,明显高于包扎疗法组的91.5%（x2=12.2,P〈0.01）.伤口细菌感染率暴露疗法组和包扎疗法组相近（x2=0.06,P〉0.05）.结论 男性会阴部手术后伤口采用暴露疗法不会增加伤口细菌感染率,且伤口甲级愈合率明显提高.

Objective To study the possibility of the exposed therapy of the male＇s perineum after operation.Methods 450 male patients with perineum surgical operation were chosen,250 among whom were adopted the exposed therapy ,200 were adopted the traditional tie-up therapy after the operation.Calculation with the statistic software SPSS 17.0 were adopted to observe the wound germ infection and heal circumstance,to statisfy the first grade heal rate and the wound germ infection rate.x2 examinations were used, too.Results The rate of the first grades healing of the exposed therapy group was obviously higher than the tie-up therapy.There was obvious difference.（x2 = 12.2,P 〈0.01）.The rate of the germ infection of the exposed therapy set was closed to that of the tie-up therapy without obvious difference（x2 =0.06 ,P 〉0.05 ）.Conclusion The rate of the wound germ infection would not increase if adopted the exposed therapy of the male＇s perineum after operation and the rate of the wound first grade heals leads to an obvious exaltation.