骶前持续低负压冲洗引流在骶前囊肿切除术后促进骶前残腔及会阴切口恢复价值研究

The value of presacral continuous low negative pressure irrigation and drainage in promoting the recovery of presacral residual cavity and perineal incision after resection of presacral cyst tumors

目的探讨骶前持续低负压冲洗引流在骶前囊肿切除术后促进骶前残腔及会阴切口恢复的临床效果及价值。方法回顾性分析2014年1月至2021年1月郑州大学附属肿瘤医院收治的130例接受骶前囊肿切除术病人的临床资料,根据骶前引流方式不同,分为骶前持续低负压冲洗引流组(67例)和传统骶前引流组(63例),比较两组病人术后骶前残腔、会阴部切口并发症及治疗效果,骶前残腔、会阴部切口感染的处理及效果等。结果骶前持续低负压冲洗引流组会阴部切口感染、骶前积液并感染的发生率均显著低于传统骶前引流组[3例(4.5%)vs 10例(15.9%),1例(1.5%)vs 7例(11.9%);P均<0.05];骶前持续低负压冲洗引流组骶前残腔恢复时间及会阴部切口愈合时间均短于传统骶前引流组[14(12,24)vs.16(14,40)d,12(10,28)vs.14(12,48)d;P均<0.05]。两组共21例术后骶前残腔及会阴部感染,骶前持续低负压冲洗引流组切口拆开引流处理低于传统骶前引流组[0 vs.10例(58.8%),P<0.05];其骶前残腔及会阴部切口感染症状转归时间短于传统骶前引流组[(5.0±1.4)d vs.(7.2±2.6)d,P<0.05]。结论骶前持续负压冲洗引流可降低骶前积液及会阴部切口感染的发生率,加速骶前囊肿切除术后骶前残腔及会阴部切口恢复,促进病人快速康复。

Objective To investigate the effect and value of presacral continuous low negative pressure irrigation and drainage in promoting the recovery of presacral residual cavity and perineal incision after resection of presacral cyst tumors.Methods The clinical data of 130 patients with presacral cyst tumors who underwent the presacral cyst tumor resection at the Affiliated Tumor Hospital of Zhengzhou University from January 2014 to January 2021 were reviewed;Acording to the different method of presacral drainage,patients were divided into presacral continuous low negative pressure irrigation and drainage group(67 cases)and traditional presacral drainage group(63 cases)to compare the the incidence and treatment effects of postoperative presacral residual cavity,perineal incision complications,as well as the treatment effects of postoperative presacral residual cavity and perineal incision infection.Results The incidence of perineal incision infection and presacral effusion in the presacral continuous low negative pressure irrigation and drainage group were significantly lower than those in the traditional drainage group[3 patients(4.5%)vs.10 patients(15.9%),1 patient(1.5%)vs.7 patients(11.9%);all P<0.05];The recovery time of presacral residual cavity and the healing time of presacral residual cavity and perineal incision in the presacral continuous low negative pressure irrigation and drainage group were significantly shorter than that in the traditional drainage group[14(12,24)vs 16(14,40)days,12(10,28)vs 14(12,48)days;all P<0.05].The total 21 patients accured the presacral residual cavity and perineum infection after operation in the two groups;The rate of incision removal and drainage treatment in the presacral continuous low negative pressure irrigation and drainage group was significantly lower than that in the traditional presacral drainage group[(0 patient(0)vs 10 patients(58.8%),P<0.05)],and the recovery time of infection symptoms in presacral residual cavity and perineal incision was also significantly shorter than that in traditional presacral drainage group(5.0±1.4)days vs.(7.2±2.6)days,P<0.05.Conclusion The continuous presacral negative pressure irrigation and drainage can reduce the incidence of presacral effusion and perineal incision infection and promote the recovery of presacral residual cavity and perineal incision in the patients who received the presacral cyst resection.