摘要
目的:观察腰椎后路术后两种不同的切口引流管放置及引流方式对切口愈合的影响。方法:选取2018年1月至2019年10月收治的腰椎后路开放性手术患者100例作为研究对象,随机分为4组,每组25例。A组用引流管自切口引出的方式放置,并采用常压引流;B组用引流管自切口周边打孔的方式放置,并采用常压引流;C组用引流管自切口引出的方式放置,并采用负压引流;D组用引流管自切口周边打孔的方式放置,并采用负压引流。对比4组术后引流量,观察记录两组引流管放置时间及切口愈合情况。结果:4组患者的性别、年龄、体质量、术前白蛋白、血红蛋白、血小板、PT及手术节段相比较,差异无统计学意义(P>0.05)。4组患者术后第1天、第7天、第14天血红蛋白、血小板、白蛋白、PT及引流量、拔管时间、切口愈合情况、拆线时间、出院时间相比较,差异无统计学意义(P>0.05)。结论:对于腰椎后路开放性手术,术后采取常压与负压引流、引流管置管位置的不同对于其切口愈合、病情恢复等无明显影响。将引流管直接放置于切口,对病人创伤更小,在术后换药粘贴无菌敷料时操作更方便。
Objective:To observe the effects of two different incision drainage tube placement and drainage modes on incision healing after posterior lumbar spine operation.Methods:100 patients with open posterior lumbar spine surgery from January 2018 to October 2019 were randomly divided into 4 groups(25 cases in each group).In Group A,drainage tubes were placed with application of normal pressure drainage.In Group B,drainage tubes were placed by drilling holes around the incision,and normal pressure drainage was used.In Group C,drainage tubes were placed with application of negative pressure.In Group D,drainage tubes were placed by drilling holes around the incision,and negative pressure drainage was used.Postoperative drainage volume in 4 groups was compared.The time of placing drainage tube and the healing of incision were observed and recorded.Results:There was no significant differences in sex,age,weight,preoperative albumin,hemoglobin,platelet,PT and operative stage among the four groups(P>0.05).Comparing Hemoglobin,platelet,albumin,PT and drainage volume,removal tube time,wound healing,suture removal time and discharge time of the four groups on postoperative Day 1,postoperative Day 7 and postoperative day 14,there was no significant difference(P>0.05).Conclusion:The normal pressure and negative pressure drainage and the position of drainage tube after open posterior lumbar spine surgery show no significant effect on wound healing and recovery.The drainage tube placed directly in the incision is of less traumatic and easy operation.
作者
刘俊
尹锐
张岱阳
罗政
LIU Jun;YIN Rui;ZHANG Daiyang;LUO Zheng(Department of Orthopaedics,The Central Hospital of Enshi Autonomous Prefecture,Enshi 445000,Hubei China.)
出处
《中国中医骨伤科杂志》
CAS
2020年第12期36-39,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
腰椎手术
切口引流
常压引流
负压引流
lumbar surgery
incision drainage
normal pressure drainage
negative pressure drainage
