Abstract: Objective To explore the drainage effect of the different drainage tube with side holes combined with drainage auxiliary device during the laparoscopic appendectomy.MethodsA 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.ResultsThere 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 decannulation,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).ConclusionsThe application of drainage auxiliary device can adjust the drainage tube conveniently and ensure the drainage tube unobstructed.Combined with multi-side holes,it appears supernal value in the abdominal surgery with ideal drainage effect and lower post-operative complication rate of associated drainage tube.
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): 99-104.
FU Zhao-jun. The Effect Analysis on the Different Drainage Tubes with Side Holes Combined with Drainage Auxiliary Device for Laparoscopic Appendectomy. Chinese Journal of Modern Operative Surgery, 2017, 21(2): 99-104.
[1]Ballard DH,Alexander JS,Weisman JA,et al.Number and location of drainage catheter side holes:in vitro evaluation[J].Clin Radiol,2015,70(9):974-980.Doi:10.1016/j.crad.2015.05.004.[2]Fagenholz PJ,Peev MP,Thabet A,et al.Abscess due to perforated appendicitis:factors associated with successfulpercutaneous drainage[J].Am J Surg,2016,212(4):794-798.doi:10.1016/j.amjsurg.2015.07.017.[3]廖永慧,高敏,冯碧,等.引流管固定器在"T"管固定中的效果分析[J].华西医学,2013,28(4):596-598.[4]Di Saverio S,Mandrioli M,Sibilio A,et al.A cost-effective technique for laparoscopic appendectomy:outcomes andcosts of a case-control prospective single-operator study of 112 unselectedconsecutive cases of complicated acute appendicitis[J].J Am Coll Surg,2014,218(3):e51-65.doi:10.1016/j.jamcollsurg.2013.12.003.[5]朱科第,唐小丽,肖硕萌,等.引流管固定装置Elock应用于腹腔引流管固定的效果观察[J].四川医学,2015,36(8):1132-1134.[6]Akkoyun I,Tuna AT.Advantages of abandoning abdominal cavity irrigation and drainage inoperations performed on children with perforated appendicitis[J].J Pediatr Surg,2012,47(10):1886-1890.edsurg.2012.03.049.[7]Nazarey PP,Stylianos S,Velis E,et al.Treatment of suspected acute perforated appendicitis with antibiotics andinterval appendectomy[J].J Pediatr Surg,2014,49(3):447-450.doi:10.1016/j.jpedsurg.2013.10.001.[8]代佑果.自制双侧孔腹腔引流管用于癌性腹水引流的研究[J].中国现代手术学杂志,2008,12(3):201-203.[9]何贤禄,刘伟.腹腔引流管拔除困难的原因分析及处理方法(附22例报道)[J].中国普外基础与临床杂志,2016,23(4):490-492.[10]黄天晴,刘慧姝,戴满花,等.腹腔引流管诊断围产期子宫切除术后腹腔内出血的临床价值[J].中华临床医师杂志(电子版),2011,5(11):3323-3324.[11]Liu JM,Chen WZ,Fu BQ,et al.The Use of Closed Suction Drainage in Lumbar Spinal Surgery:Is It ReallyNecessary? [J].World Neurosurg,2016,90:109-115.doi:10.1016/j.wneu.2016.02.091.[12]陈积圣,霍景山.腹部手术后引流管的管理策略[J].临床外科杂志,2016,14(9):550-551.[13]龙崑,邹爱美.急性重症胰腺炎22例术后胰周引流管的管理体会[J].中国误诊学杂志,2010,10(11):2731-2732.[14]Messager M,Sabbagh C,Denost Q,et al.Is there still a need for prophylactic intra-abdominal drainage in elective majorgastro-intestinal surgery? [J].J Visc Surg,2015,152(5):305-313.doi:10.1016/j.jviscsurg.2015.09.008.[15]Robert B,Chivot C,Rebibo L,et al.Percutaneous transglutl drainage of pelvic abscesses in interventionalradiology:A safe alternative to surgery[J].J Visc Surg,2016,153(1):3-7.doi:10.1016/j.jviscsurg.2015.10.006.[16]王有财,韩广森,王刚成,等.腹腔引流管周围敷料浸润的原因分析及处理[J].中国实用外科杂志,2013,22(S1):19-23.[17]Miller DL,Helms GA,Mayfield WR.Digital Drainage System Reduces Hospitalization After Video-AssistedThoracoscopic Surgery Lung Resection[J].Ann Thorac Surg,2016,102(3):955-961.doi:10.1016/j.athoracsur.2016.03.089.[18]王飞,权永志,刘军杰,等.多侧孔硅胶引流管负压切口皮下引流在预防急性化脓性阑尾炎术后切口感染中的应用价值[J].临床合理用药,2016,9(4):97-99.[19]丁彩儿.引流管两种不同固定方法的效果比较[J].中华护理杂志,2008,43(5):413-414.[20]邓治洲,郭仪,卢衡凭,等.乳腺癌改良根治术不同引流管侧孔修剪方式引流效果分析[J].中国实用外科杂志,2016,36(4):445-446.