负压创面治疗技术在Miles术后会阴难愈伤口的临床应用

Negative pressure wound therapy in treating perineal wounds in Miles operation

目的观察负压创面治疗技术在患者腹会阴联合直肠癌根治术(Miles)后会阴部难愈伤口的治疗效果。方法选取2005年3月至2012年3月天津市滨海新区大港医院及由外院转诊前来治疗的患者22例按照治疗方法不同分为治疗组和常规组,分别为12例、10例。两组均首先行内镜探查清创,然后治疗组行负压创面治疗技术并在治疗过程中保持创面的急性创面状态;常规治疗组传统换药治疗。结果治疗组治疗组愈合时间为(15.42±6.25)d,该组应用负压创面治疗技术会阴难愈伤口全部治愈,患者生活质量明显提高,治疗过程中耐受性良好。常规组愈合时间为(32.00±11.56)d。两组愈合时间比较差异有统计学意义(P<0.05)。结论创面负压治疗技术是一种有效治疗Miles术后会阴窦道性难愈伤口的方法,较常规治疗方法缩短了治疗时间,提高了患者生活质量,增加了患者进一步治疗原发肿瘤疾病的信心。

Objective To observe the clinical effect of using negative pressure wound therapy on treating perineal wounds in Miles operation in patients. Methods Twenty-two patients were divided into two groups according to treatment method： treatment group and control group.All patients of the two groups were given debridement using endoscopy.The treatment group （12 cases） was given negative pressure wound therapy while the other 10 cases served as control with traditional treatment. Results Patients of the treatment group were cured and their quality of life was significantly improved. The course of treatment was well tolerated.The healing time of the control group was much longer than the treatment group. Healing time for treatment group was （15.42±6.25） days,and （32.00±11.56） days in control group （P0.05）. Healing time of the two groups was statistically significant. Conclusions Negative pressure wound therapy is an effective and safe method in treating perineal wounds in Miles operation, can significantly reduce the healing time and enhance the patient’s quality of life.