十二指肠腔内双套管负压吸引在十二指肠破裂修补术中的应用价值

Application value of duodenum double lumen cannula suction in the duodenal rupture repair

目的 探讨十二指肠腔内双套管负压吸引在十二指肠破裂修补术中的应用价值。方法将60例十二指肠破裂并且施行十二指肠修补术患者，根据患者手术方法分为单纯引流组（26例）和双套管吸引组（34例），比较两组手术和并发症发生情况。结果两组术后7d引流量差异有统计学意义（t=7．564，P〈0．05），单纯引流组的住院时间和住院费用多于双套管吸引组，差异均有统计学意义（t=3．567、4．123，均P〈0．05）。单纯引流组十二指肠瘘、腹腔感染、切口感染、肺部感染发生率分别为30．77％、42．31％、46．15％、26．92％，均高于双套管吸引组的2．94％、11．76％、8．82％、2．94％、5．88％，差异均有统计学意义（x2=8．949、7．330、10．950、2．986、5．116，均P〈0．05）。结论十二指肠腔内双套管负压吸引可以明显降低十二指肠破裂修补术后并发症的发生率，具有一定安全性。

Objective To investigate the clinical value of the duodenum double lumen cannula suction in duodenal rupture repair. Methods According to the operation methods,60 patients with duodenal rupture undergoing duodenal repair were divided into the surgical drainage alone group （26 cases） and double sets attract tube group （34 cases）. The surgery effect and complications were observed. Results The difference of traffic flow 7 days after the operation between the two groups was statistically significant （t = 7. 564,P 〈0. 05 ）. The length of stay and hospital costs of the surgical drainage alone group were more than those of the double sets attract tube group, the differences were statistically significant（ t=3. 567,4. 123, all P 〈 0.05 ）. The fistula, intra - abdominal infections, wound infections,pulmonary infection rates of the surgical drainage alone group were 30.77% ,42.31% ,46.15% ,26.92%, which were higher than 2.94% ,11.76% ,8.82% ,2.94% ,5.88% of the double sets attract tube group,the differences were staiistically significant（X2 =8.949,7.330,10.950,2.986,5. l16,all P〈0.05）. Conclusion Application of the double lumen cannula duodenal suction in duodenal rupture repair can significantly reduce the incidence of postoperative comolications, has certain security.it is recommended in clinical nractice.