十二指肠腔双套管负压吸引用于十二指肠破裂修补术的临床疗效观察

Clinical observation of double tube negative pressure suction in duodenal cavity for repair of duodenal rupture

目的探讨十二指肠腔双套管负压吸引用于十二指肠破裂修补术的临床疗效。方法回顾性分析十二指肠破裂并施行十二指肠修补术的病人48例。按照术后引流方式的不同将入选病人分为观察组21例和对照组27例。观察组采用经胃十二指肠内双套管负压吸引法,对照组采用经胃十二指肠单纯引流方法。结果观察组病人引流管的拔管时间显著小于对照组,差异有统计学意义(P<0.05)。术后第1~7天,每个时间点观察组的十二指肠引流液量均显著高于对照组,差异有统计学意义(P<0.05)。观察组病人发生十二指肠瘘、腹腔感染、肺部感染和切口感染的概率显著小于对照组,差异有统计学意义(P<0.05)。观察组病人住院时间和住院费用显著少于对照组,差异有统计学意义(P<0.05)。结论十二指肠腔内双套管负压吸引用于十二指肠破裂修补术疗效好、并发症少、安全性高、能明显缩短病人住院时间和减少住院费用,值得临床推广使用。

Objective To investigate the clinical curative effect of duodenal double tube negative pressure suction for repair of duodenal rupture. Methods Retrospective analysis of 48 cases of duodenal rupture and underwent duodenal repair in patients. The patients were divided into observation group （21 cases） and control group （27 cases） according to the different drainage pattern. The observation group was treated by double tube negative pressure suction, and the control group was treated by simple drainage of the stomach and du-odenum. Results The treatment duration of observation group was shorter than the control group （ P 〈 0. 05 ）. After surgery 1 -7 d,the duodenal drainage volume of the observation group was significantly higher than that of the control group at different observation point （P 〈0. 05） . In the observation group,the rate of duodenal fistula,abdominal infection,lung infection and wound infection was signifi-cantly lower than that of the control group （ P 〈 0.05 ）. The hospitalization duration and hospitalization expenses of the observation group were significantly less than that of the control group （P 〈0. 05）. Conclusion Duodenal double tube negative pressure suction for duodenal rupture repair is effectiveness complications and more safe,which significantly shorten the duration in the hospital and re-duce the cost of medication. It is worthy of clinical application and promotion.