摘要
目的 ;探讨预防坏疽穿孔性阑尾炎切口感染的方法。方法 :对 18例急性坏疽穿孔性阑尾炎 (A组 )采用切口敞开延期缝合 ,同时应用灭滴灵和丁胺卡那霉素抗感染 ;同期另 2 9例急性坏疽穿孔性阑尾炎 (B组 )采用传统手术方法治疗 ,比较两组的切口感染率、切口愈合时间、切口疝发生率、慢性窦道发生率及住院费用。结果 :A、B两组的切口感染率分别为 0 /2 4 .1% (P<0 .0 0 5 ) ;切口愈合时间 10 .3d/2 2 .7d(P <0 .0 0 5 ) ;切口疝发生率 0 /6 .9% (P <0 .0 0 5 ) ;慢性窦道发生率 0 /10 .3% (P <0 .0 0 5 ) ;住院费用 2 14 8.5 2元 /40 2 1.2 5元 (P <0 .0 0 5 )。结论
Objective: To explore the way that can prevent wound infection of gangrened and perforated appendicitis. Methods: Group A: 18 patients with gangrened and perforated appendicitis received wound drainage and stage-II stitched in order to prevent wound infection , and use Metronidazole and Amikacin transveins at the same time. meanwhile 29 patients in Group B received conventionral treatment. Results: Compare the wound infection rate 0/24.1%( P <0.005);wound healing days 10.3d /22.7d( P <0.005);complated resection hernia rate 0/6.9%( P <0.005);completed chronic fistula rate 0/10.3%( P < 0.005 ); and hospitalization expenses 2148.52/4021.25( P <0.005)of the two group. Conclusion: The method of wound drainage and stage-II stitch combind antibiotic using in gangrened and perforated appendicitis can reduce wound infection rate and save the hospitalization costs apparently.
出处
《中国临床医学》
2003年第4期493-494,共2页
Chinese Journal of Clinical Medicine
