目的 探讨腹腔镜阑尾切除手术中使用不同侧孔引流管结合引流辅助装置的引流效果.方法 选取180例行腹腔镜阑尾切除手术患者,均安置一根盆腔引流管,随机分为A组、B组和C组各60例.A组术中使用具有2个侧孔引流管,B组使用6个侧孔引流管,C组使用12个侧孔引流管,均结合引流辅助装置使用.术后相应时间对进行引流管调整,比较三组每次引流管调整操作时间,疼痛评分,引流管堵塞,引流管脱落,拔出困难,引流管断裂,置管时间,残余感染,肠梗阻,电解质紊乱,二次手术等指标. 结果 三组患者行引流管调整时疼痛数字评分、引流管操作调整时间、次数、难易度比较,差异均无统计学意义(P＞0.05).术后均未发生引流管断裂及需二次手术者.三组间术后发生引流管脱落,拔管困难,炎性肠梗阻,电解质紊乱并发症比较均无统计学差异(P＞0.05),但盆腔积液量、置管时间及引流管堵塞率、感染率比较,C组显著优于A组及B组(P＜0.05).结论 应用引流辅助装置在术后进行引流管调整操作简单、方便,保证了引流管的通畅;结合多孔引流管在腹部外科手术中有很高的应用价值,其引流效果更好,且引流管相关并发症的发生率低.%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.
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