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目的评价自制冲洗引流器在直肠癌术后引流中的疗效。方法将86例直肠癌行Miles术患者用随机数字表法分为2组,采用单腔引流器及自制冲洗引流器两种装置分别进行术后骶前引流,其中单腔引流组48例,自制冲洗引流器组38例,对比观察引流管阻塞、会阴部切口感染发生率及会阴部切口愈合时间三方面的情况。结果与单腔引流管组比较,自制冲洗引流器组的引流管阻塞发生率(15.8%vs45.8%)、会阴部切口感染发生率(2.6%vs41.7%)、≥15d切口愈合率(21.0%vs66.7%)均明显降低(P均<0.05)。结论直肠癌Miles术后患者应用自制冲洗引流器进行间断冲洗引流,更有利于减少并发症的发生。
Objective To evaluate the curative effect of home-made irrigation and drainage device in the treatment of postoperative drainage of rectal cancer. Methods Eighty-six patients undergoing Miles operation with rectal cancer were divided into two groups according to the random number table. The patients underwent pre-sacral drainage with a single-chamber drainage device and a self-made irrigation and drainage device. Among them, 48 patients underwent single-chamber drainage Flushing drainage group of 38 cases, compared to observe drainage tube obstruction, perineal incision infection incidence and perineum incision healing time three aspects. Results The incidence of drainage tube obstruction (15.8% vs 45.8%), perineal incision infection (2.6% vs 41.7%) and ≥15 days wound healing rate 21.0% vs66.7%) were significantly lower (all P <0.05). Conclusion The patients who underwent Miles operation after rectal cancer were given flush irrigation and drainage device for intermittent irrigation and drainage, which is more conducive to reduce the incidence of complications.