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不同侧孔引流管结合引流辅助装置在腹腔镜阑尾切除术中的应用

付召军 杨玉辉 魏健 胡楠 田晓军

中国现代手术学杂志2017,Vol.21Issue(2):99-103,5.
中国现代手术学杂志2017,Vol.21Issue(2):99-103,5.DOI:10.16260/j.cnki.1009-2188.2017.02.005

不同侧孔引流管结合引流辅助装置在腹腔镜阑尾切除术中的应用

The Effect Analysis on the Different Drainage Tubes with Side Holes Combined with Drainage Auxiliary Device for Laparoscopic Appendectomy

付召军 1杨玉辉 1魏健 1胡楠 1田晓军1

作者信息

  • 1. 四川省自贡市第四人民医院普外一科,自贡643000
  • 折叠

摘要

Abstract

Objective To explore the drainage effect of the different drainage tube with side holes combined with drainage auxiliary device during the laparoscopic appendectomy.Methods A randomized controlled clinical research was used to investigate the drainage effect in 180 cases placed a pelvic drainage tube during the laparoscopic appendectomy surgery.They were randomly divided into group A,B and C with 60 cases for each group,and were placed drainage tube with two side holes,six side holes and 12 side holes respectively.The drainage auxiliary device was applied in all groups.The operating time and pain scores of the drainage tube adjustment,post-operative complication such as blockage,falling off,difficulties of extraction,breakage,cathetering time of the drainage tube,residual infection rate,intestinal obstruction,electrolyte disturbances and reoperation rate were compared among three groups.Results There was no statistical difference in the pain score,operating duration,times and difficulties of drainage tube adjustment among three groups (P >0.05).No drainage tube breakage and reoperation occurred in all cases.No statistical differences were found in post-operative complication as pulling-out,difficulty in decaunulation,intestinal obstruction and electrolyte disturbances (P >0.05) among three groups,but there was statistical difference in pelvic hydrops volume,indwelling catheter time,drainage tube blockage rate and infection rate,the group C was better than group A and B (P <0.05).Conclusions The application of drainage auxiliary device can adjust the drainage tube conveniently and ensure the drainage tube unobstructed.Combined with muhi-side holes,it appears supernal value in the abdominal surgery with ideal drainage effect and lower post-operative complication rate of associated drainage tube.

关键词

引流管/引流辅助装置/阑尾切除术/腹腔镜检查/阑尾炎/手术后并发症

Key words

drainage tube/draingae auxiliary device/appendectomy/laparoscopy/appendicitis/postoperative complications

分类

医药卫生

引用本文复制引用

付召军,杨玉辉,魏健,胡楠,田晓军..不同侧孔引流管结合引流辅助装置在腹腔镜阑尾切除术中的应用[J].中国现代手术学杂志,2017,21(2):99-103,5.

基金项目

四川省卫生和计划生育委员会科研课题(编号:17PJ121) (编号:17PJ121)

中国现代手术学杂志

OACSTPCD

1009-2188

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