预防性留置引流降低开腹手术后手术部位感染的临床应用

Clinical application of preventive subcutaneous drainage to reduce surgical site infection after open abdominal surgery

目的研究分析开腹手术后留置多侧孔硅胶引流管对预防手术部位感染的可行性和效果。方法回顾性分析2010年6月-2011年12月562例接受择期开腹手术患者临床资料,根据术后有无留置多侧孔硅胶引流管将两组患者分为留置引流组(A组)和未留置引流组(B组),比较、分析两组患者术后切口愈合情况、切口感染情况。结果和术后未留置引流组患者比较,术后留置引流组患者切口感染率明显较低(P<0.01),切口愈合情况较好,住院总时间较少(P<0.01)。结论开腹手术后预防性留置多侧孔硅胶引流管可明显减少开腹手术后切口感染,有利患者切口恢复,并可减少住院时间,但仍有待深入探讨和进一步研究。

[Objective] To study and analyze the feasibility and effects of preventive subcutaneous drainage to reduce surgical site infection after open abdominal surgery. [Methods] Retrospectively analyze the clinical datum of 562 patients from June 2010 to December 2011 who underwent open abdominal surgery. All patients were divided into group A and group B according to whether applied preventive subcutaneous drainage after open abdominal surgery. Study, compare and analyze the wound healing time and infection rate between the two groups. [Resulsl Compared to group B, wound healing and infection rate, hospital stay were better and less in group A （P 〈0.01）. [Conclusion] Placing subcutaneous drainage tube preventively after open abdominal surgery is better for wound healing, can effectively reduce surgical site infection rate and hospital stay, but still needs further investigation.