INTRAABDOMINAL DRAINS AFTER APPENDECTOMYINCREASE RISK OF WOUND INFECTION_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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庄永敬 , 吴桂荣 , 王晓春 , 吴小超

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Keywords：

阑尾炎; 阑尾切除; 切口感染

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目的探讨阑尾切除术后腹腔引流放置与否对切口感染的影响。方法回顾性分析1 719例阑尾手术的引流情况和切口感染情况。结果引流组切口感染率为50.93%，未引流组为3.17%(P lt;0.005)。其中单纯性阑尾炎引流组感染率为33.33%，未引流组为1.66%；化脓性阑尾炎引流组感染率为46.43%，未引流组为3.12%；坏疽性阑尾炎引流组感染率为56.25%，未引流组为20.00%；穿孔性阑尾炎引流组感染率为54.95%，未引流组为23.08%。结论无论何种类型阑尾炎，术后放置腹腔内引流均可能增加切口感染。

Citation： 庄永敬,吴桂荣,王晓春,吴小超. INTRAABDOMINAL DRAINS AFTER APPENDECTOMYINCREASE RISK OF WOUND INFECTION. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(3): 204-205. doi: Copy

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1. Krukowski ZH, Irwin ST, Denholm S, et al. Preventing wound infection after appendectomy: a review [J].Br J Surg， 1988； 75（10）∶1023.
2. 冯祖亮. 穿孔型或坏疽型阑尾炎术后放置腹腔内引流管弊多利少 [J].普外临床，1993； 5（3）∶315.
3. 汪中. 阑尾切除术切口感染因素与预防措施 [J].实用外科杂志，1993； 2（3）∶115.
4. Cacioppo JC, Diettrich NA, Kaplan G, et al. The consequences of current constraints on surgical treatment of appendicitis [J]. Am J Surg， 1989; 157(3)∶276.
5. Lau WY, Fan ST, Chu KW, et al. Influence of surgeons experience on postoperative sepsis [J].Am J Surg， 1988; 155（2）∶322.
6. Kern E. Perforated appendicitis [J].Zentralbl Chir， 1986; 111（13）∶753.
7. Morgan M, Paul E, Devlin HB. Length of stay for common surgical procedures: variation amomg districts [J]. Br J Surg， 1987;74（10）∶884.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

INTRAABDOMINAL DRAINS AFTER APPENDECTOMYINCREASE RISK OF WOUND INFECTION

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