无创固定自制冲洗引流管在Dixon 术中的应用.pdfVIP

·9908 · 中华临床医师杂志( 电子版)2013 年11 月第7 卷第22 期 Chin J Clinicians(Electronic Edition),November 15,2013,Vol.7,No.22 ·临床论著· 无创固定自制冲洗引流管在Dixon 术中的应用 杨为锦 黄盛 王瑜 张再重 闾仁 【摘要】 目的 探讨无创固定自制冲洗引流管在Dixon 术应用中的可行性及优点。方法 随访福州总 医院2011 年 1 月至2012 年 1 月96 例行Dixon 手术患者，分为改良组（49 例）及对照组（47 例），改良 组为造口袋无创固定组，对照组为丝线缝合固定组，观察 Dixon 术后两组冲洗引流管固定处感染情况、疼 痛情况及其存在的优缺点。结果 对照组有3 例发生固定处感染，改良组无一例发生感染。对照组术后1 d 固定处疼痛不明显，术后3、5、7 d 固定处疼痛明显；而改良组术后7 d 内固定处疼痛轻微。对照组中术后 5 d 有3 例（6.38% ）患者出现固定处丝线断裂，有2 例（4.26% ）缝合处出现切割伤；而改良组中术后6 d 有 2 例（4.08% ）出现造口袋圆形底盘脱落，1 例（2.04% ）过敏体质的患者粘贴处出现红疹及水泡等过敏 表现。结论 无创固定自制冲洗引流管在低位直肠癌手术中，可减少肛周固定处感染的风险，减轻术后固 定处疼痛，具有一定的临床应用价值，但对于过敏体质患者应慎用。 【关键词】 无创固定； 自制冲洗引流管； Dixon 术； 临床应用 Application of noninvasive fixation of self-designed tubes for lavage and drainage in Dixon surgery YANG * * Wei-jin , HUANG Sheng, WANG Yu, ZHANG Zai-zhong, LV Ren. Department of General Surgery, the Affiliated Clinical Medical College of Fuzhou General Hospital, Fujian Medical University, Fuzhou 350025, China Corresponding author: WANG Yu, Email: flyfishwang@ 【Abstract 】 Objective To assess the feasibility and advantage of noninvasive fixation of self-designed tubes for lavage and drainage in Dixon surgery. Methods Ninety-six consecutive patients who underwent Dixon surgery in the research institute of general surgery of Fuzhou General Hospital of Nanjing Military Command were randomly assigned into improvement group and control group, which the improvement group has 49 patients of improvement group received the self-designed tubes for lavage and drainage, while 47 patients of control group received the conventional fixation by silk. Local infection, pain conditions, advantages and disadvantages in two groups were observ