摘要
目的探讨限期结直肠癌手术不预防性腹腔引流的可行性和安全性。方法将笔者所在医院2005年6月～2011年6月实施的210例结直肠癌手术患者随机分为两组。腹腔引流组120例,常规放置腹腔引流管;无腹腔引流组90例,不放置腹腔引流管。两组均使用相同的围手术期处理方法。比较两组患者的术后住院时间、术后并发症发生率。结果引流组和未引流组患者术后吻合口漏、切口感染、肺部感染分别为2例、7例、2例和1例、5例、3例,再手术各1例,住院时间分别为(11.8±2.8)d和(10.7±2.7)d,两组均无死亡病例。两组比较,差异无统计学意义(x2=0.38,t=1.428,P>0.05)。结论限期结直肠癌手术不常规预防性腹腔引流是安全可行的。
Objective To investigate the safety and feasibility of not placing prophylactic drainage after colorectal anastomosis.Methods A total of 210 patients with colorectal cancer who were admitted from June 2005 to June 2011 were randomly divided into drainage group（120 patients）and non-drainage group（90 patients）.The duration of postoperative stay,mortality and morbidity of the 2 groups were compared.Results The numbers of patients whose course was complicated by anastomotic leakage,wound infection and pulmonary infection were 2,7,2 in the drainage group,and 1,5,3 in the nondrainage group,The numbers of reoperations were 1.The duration of postoperative hospital stays were（11.8±2.8）days in the drainage and（10.7±2.7）days in non-drainage group.No death were found.There were no significant differences in the morbidity and duration of postoperative hospital stay between the 2 group（x2=0.38,t=1.428,P 0.05）.Conclusion It is safe and feasible not to place prophylactic drainage after colorectal anastomosis.
出处
《中国医药科学》
2012年第5期23-24,共2页
China Medicine And Pharmacy
关键词
结直肠癌
腹腔引流
手术后并发症
Colorectalr cance
Abdominal drainage
Postoperative complications
