半潜式持续冲洗加低负压吸引技术治疗低位直肠癌吻合口瘘

Semi submersible continuous irrigation and low pressure drainage for treating anastomotic fistula after low rectal carcinoma surgery

目的评估半潜式持续冲洗加低负压吸引技术对直肠癌术后吻合口瘘的治疗价值。方法按照随机分组的方法将广东医学院第三附属医院茂名石化医院普外科2012年1月至2014年4月收治的直肠癌术后吻合口瘘患者60例分为观察组和对照组,各30例。观察组采用半潜式持续冲洗加低负压吸引装置;对照组行常规普通引流。结果观察组在瘘口愈合时间、换药次数、住院时间及住院总费用均优于对照组,差异有统计学意义(P<0.05)。结论半潜式持续冲洗加低负压吸引法能有效地阻止肠内容物对吻合口的污染,是治疗吻合口瘘的有效方法之一。

Objective To evaluate the effect of semi submersible continuous irrigation and low pressure drainage method in treating anastomotic fistula after low rectal carcinoma surgery.Methods Sixty cases of rectal carcinoma operation in our hospital from January 2012 to April 2014 were divided randomly into the observation group and the control group,30 cases in each group.The control group received the conventional common drainage,while the study group was treated by semi submersible continuous irrigation and low pressure drainage method.Results The healing time,changing dressing time,hospital stay time and the cost in the observation group were superior to those in the control group,the differences were statistically significant（P〈0.05）.Conclusion Semi submersible continuous irrigation and low pressure drainage can effectively prevent the pollution of intestinal content on anastomosis and is one of effective methods for treating anastomotic fistula.