Mile′s术会阴伤口Ⅰ期缝合56例临床分析

Clinical analysis of perineum wound primary suture of 56 cases of low rectal cancer after Mile′s operation

目的 :探讨低位直肠癌实施 Mile′s手术会阴伤口处理的重要性以及导致伤口裂开的因素。方法 :对 5 6例低位直肠癌实施 Mile′s手术会阴伤口 期缝合患者的临床资料进行了回顾性分析 ;对于已裂开的伤口 ,可于会阴伤口上、下方各重新放置橡皮引流管 1根 ,同时缝合裂开处 ,并经上方管冲洗、下方管引流。结果:5 6例会阴伤口 期愈合 5 2例 (92 .9% ) ,拔管后 8d左右痊愈 ;4例 (7.1% )会阴伤口拆线后部分裂开 ,其中 1例 (1.8% )因骶前感染裂开。 结论:低位直肠癌 Mile′s手术会阴伤口均可 期缝合 ;骶前感染与创面渗血、积液有关 ,术后有效地引流及术中无菌操作 。

Objective: To discuss the significance of perineum wound treatment of low rectal cancer after Mile′s operation and to study the causes of wound dehiscing. Methods: To analyse retrospectively 56 cases of low rectal cancer being primarily sutured perineum wound after Mile′s operation. If perineum wound had dehisced, to re suture wound after re placed two rubber tubs which were placed one lower another, then, douching from the superior rubber tub and to drain from the under tub. Result: In 56 cases of sutured wound of low rectal cancer after Mile′s operation, there were 52 cases of healing by first intention in 8 days after operation; there was one of 4 cases of part dehisced wound after having been taken out stitches, because infection of pelvic kidney. Conclusion: Perineum wound of low rectal cancer after Mile′s operation could be primarily sutured. Infection and dropsy of pelvic kidney following blood oozing from the wound surface result in dehisced wound. So aseptic technique and keeping drain after operation are important turning points of wound healing.