探讨负压引流对预防腹股沟疝无张力修补术 术后感染的有效性

Discussion on the effectiveness of negative-pressure therapy in tension-free herniorrhaphy for the prevention of postoperative infection

摘要:

目的：探讨腹股沟疝无张力修补术中放置负压引流管对预防术后感染的临床价值。方法：回顾性分析我院自2011年1月至2016年5月共收治的1 553例腹股沟疝患者，统计并对比术后放置引流与未放置引流患者切口感染率。结果：1 553例患者中，术后发生不同程度切口感染患者55例（3.54%），其中术后放置负压引流1 192例，发生感染30例（2.51%），未放置负压引流361例，发生感染25例（6.93%），放置引流与否对术后切口感染存在相关关系，统计学存在差异（P=0.00）。结论：腹股沟疝无张力修补术术中放置负压引流，能有效引流术区渗液，促进切口愈合，减少术后感染。

Abstract:

Objective：To discuss the clinical value of negative-pressure therapy in tension-free herniorrhaphy for the prevention of postoperative infection. Methods：A retrospective analysis was done on 1 553 cases of inguinal hernia admitted in our treatment from January 2011 to May 2016. The incisions infection rates before and after treatment were collected and compared. Results：In 1 553 cases，there were 55 cases of postoperative incision infection（3.54%），among which，30 cases were in the drainage group（1192 cases） with a incidence rate of 2.51% and 25 cases in the control group（361 cases） with a incidence rate of 6.93%. There was a correlation between the drainage and the incision infection，and the difference was statistically significant（P=0.00）. Conclusion：It can effectively drain the exudates，promote the incision union and decrease postoperative infections by using negative-pressure drainage in the oper－ations of tension-free herniorrhaphy.