摘要
目的:探讨皮下置管引流及切口预置抗菌薇乔线延期缝合对腹部Ⅲ类手术后切口感染的影响。方法:将所收集的504例Ⅲ类切口腹部外科手术患者分成3组:A组(术后彻底冲洗切口后行一期缝合)143例,B组(术后关闭腹膜至腹直肌前鞘后切口预置抗菌薇乔线未缝合)190例,C组(术后皮下放置引流管)171例。比较3组术后切口感染率及切口二期清创缝合率。结果:A组有11例切口感染,感染率为7.69%;B组有4例切口感染,感染率为2.11%;C组有3例切口感染,感染率为1.75%。3组总体切口感染率差异有统计学意义(P<0.05),B组和C组切口感染率较A组低,差异有统计学意义(P<0.016 7)。3组切口感染患者二期清创缝合率差异无统计学意义(P>0.05)。结论:Ⅲ类切口腹部外科手术后预置抗菌薇乔线切口延期缝合及放置皮下引流管的方法可以降低切口感染率,但不能降低感染切口的二期清创缝合率。
Objective To investigate the effect of placing subcutaneous drain tube and preseting triclosan-coated polyglactin 910 suture with delayed suturing to incision infection after type m abdominal surgery. Methords Dividing 504 patients with type I[I incisions undergone abdominal surgery into 3 groups. The number of group A patients with thoroughly incision washing and primary triclosan-coated polyglactin 910 suture after abdominal surgery was 143. The number of group B with closed anterior rectus sheath, opened skin and subcutaneous fat with preseted triclosan-coated polyglactin 910 suture was 190. The number of group C with subcutaneous drain tube after abdominal surgery was 171. We compared the incidence rates of incision infection and the second phase debridement suture rates among the 3 groups. Results For the group A, B, C, the number of incision infection people was 11, 4, 3 and the incision infection rate was 7.69%, 2.11% and 1.75% respectively. The difference of the 3 groups incision infection rate were statistically significant （P 〈 0.05）. The incision infection rate of the group B and group C were lower than that of group A and the difference were statistically significant （P 〈 0.016 7）. There were no significant differences in second phase debridement suture rates among the 3 groups. Conclusion Preseting triclosan-coated polyglactin 910 suture with delayed incision sutue and placing subcutaneous drain tube can decrease the incision infection rates for type m patients after abdominal surgery, but can not decrease the second phase debridement suture rates of the infectious incision.
出处
《实用医学杂志》
CAS
北大核心
2014年第5期745-747,共3页
The Journal of Practical Medicine
基金
河南省卫生科技创新人才项目(编号:201004121)
关键词
外科伤口感染
延期缝合
抗菌薇乔线
皮下引流管
Surgical wound infection
Suturing late
Triclosan-coated polyglactin 910 suture
Subcutaneous drain tube
