[1]刘俊 尹锐△ 张岱阳 罗政.腰椎后路开放性手术不同引流方式的对比研究[J].中国中医骨伤科杂志,2020,28(12):36-39.
　LIU Jun YIN Rui ZHANG Daiyang LUO Zheng.Comparative Study of Different Drainage Methods inOpen Posterior Lumbar Spine Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(12):36-39.
点击复制

腰椎后路开放性手术不同引流方式的对比研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年12期
页码:
36-39
栏目:
临床论著
出版日期:
2020-12-15

文章信息/Info

Title:
Comparative Study of Different Drainage Methods inOpen Posterior Lumbar Spine Surgery
文章编号:
1005-0205(2020)12-0036-04
作者:
刘俊1 尹锐1△ 张岱阳1 罗政1
1湖北恩施土家族苗族自治州中心医院脊柱外科(湖北 恩施,445000)△通信作者 E-mail:383758983@qq.com
Author(s):
LIU Jun1 YIN Rui1△ ZHANG Daiyang1 LUO Zheng1
1Department of Orthopaedics,The Central Hospital of Enshi Autonomous Prefecture,Enshi 445000,Hubei China.
关键词:
腰椎手术;  切口引流;  常压引流;  负压引流
Keywords:
lumbar surgery;  incision drainage;  normal pressure drainage;  negative pressure drainage
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察腰椎后路术后两种不同的切口引流管放置及引流方式对切口愈合的影响。方法:选取2018年1月至2019年10月收治的腰椎后路开放性手术患者100例作为研究对象,随机分为4组,每组25例。A组用引流管自切口引出的方式放置,并采用常压引流; B组用引流管自切口周边打孔的方式放置,并采用常压引流; C组用引流管自切口引出的方式放置,并采用负压引流; D组用引流管自切口周边打孔的方式放置,并采用负压引流。对比4组术后引流量,观察记录两组引流管放置时间及切口愈合情况。结果:4组患者的性别、年龄、体质量、术前白蛋白、血红蛋白、血小板、PT及手术节段相比较,差异无统计学意义(P>0.05)。4组患者术后第1天、第7天、第14天血红蛋白、血小板、白蛋白、PT及引流量、拔管时间、切口愈合情况、拆线时间、出院时间相比较,差异无统计学意义(P>0.05)。结论:对于腰椎后路开放性手术,术后采取常压与负压引流、引流管置管位置的不同对于其切口愈合、病情恢复等无明显影响。将引流管直接放置于切口,对病人创伤更小,在术后换药粘贴无菌敷料时操作更方便。
Abstract:
To observe the effects of two different incision drainage tube placement and drainage modes on incision healing after posterior lumbar spine operation.Methods:100 patients with open posterior lumbar spine surgery from January 2018 to October 2019 were randomly divided into 4 groups(25 cases in each group).In Group A,drainage tubes were placed with application of normal pressure drainage.In Group B,drainage tubes were placed by drilling holes around the incision,and normal pressure drainage was used.In Group C,drainage tubes were placed with application of negative pressure.In Group D,drainage tubes were placed by drilling holes around the incision,and negative pressure drainage was used.Postoperative drainage volume in 4 groups was compared.The time of placing drainage tube and the healing of incision were observed and recorded.Results:There was no significant differences in sex,age,weight,preoperative albumin,hemoglobin,platelet,PT and operative stage among the four groups(P>0.05).Comparing Hemoglobin,platelet,albumin,PT and drainage volume,removal tube time,wound healing,suture removal time and discharge time of the four groups on postoperative Day 1,postoperative Day 7 and postoperative day 14,there was no significant difference(P>0.05).Conclusion:The normal pressure and negative pressure drainage and the position of drainage tube after open posterior lumbar spine surgery show no significant effect on wound healing and recovery.The drainage tube placed directly in the incision is of less traumatic and easy operation.

参考文献/References:

[1] WALID M S,ABBARA M,TOLAYMAT A,et al.The role of drains in lumbar spine fusion[J].World Neurosurg,2012,77(3/4):564-568.
[2] KANAYAMA M,OHA F,TOGAWA D,et al.Is closed-suction drainage necessary for single-level lumbar decompression review of 560 cases?[J].Clin Orthop Relat Res,2010,468(10):2690-2694.
[3] 张志成,杜培,孟浩,等.腰椎后路短节段手术加速康复外科实施流程专家共识[J].中华骨与关节外科杂志,2019,12(6):401-409.
[4] 周慧,周立燕,王学丽,等.氨甲环酸和间断负压引流对腰椎术后引流量的影响[J].中国矫形外科杂志,2019,27(11):1001-1004.
[5] 刘佳坤,赵大卫,陈丽会,等.持续负压引流在外穿性结核性脓胸术后应用的效果[J].河北医科大学学报,2017,38(6):668-671.
[6] LIU X H,FU P L,WANG S Y,et al.The effect of drainage tube on bleeding and prognosis after total knee arthroplasty:a prospective cohort study[J].J Orthop Surg Res,2014,9(1):1-5.
[7] 赵勇,申才佳,张欣.不同术后引流方式在腰椎融合手术中的应用比较[J].颈腰痛杂志,2019,40(2):256-257.
[8] 豆敏,王飞,李维萍,等.高负压与常规引流对人工髋关节置换术后失血量与切口愈合影响的研究[J].生物骨科材料与临床研究,2019,16(6):35-38.
[9] FICHMAN S G,M?KINEN T J,LOZANO B,et al.Closed suction drainage has no benefits in revision total hip arthroplasty:a randomized controlled trial[J].International Orthopaedics,2016,40(3):453-457.
[10] 陈碧玉,王丽璇,柯少力.人工髋关节置换术后不同引流方法的临床研究[J].实用临床医药杂志,2015,19(16):79-81.
[11] PATEL V P,WALSH M,SEHGAL B,et al.Factors associated with prolonged wound drainage after primary total hip and knee arthroplasty[J].The Journal of Bone and Joint Surgery,2007,89(1):33-38.
[12] 杨广钢,潘永雄,李中万.高负压与常规引流对跟骨骨折术后失血与切口愈合的前瞻性随机对照研究[J].中华创伤骨科杂志,2018,20(2):118-122.
[13] CHIMENTI P,MOLINARI R.Post-operative spinal epidural hematoma causing American spinal injury association B spinal cord injury in patients with suction wound drains[J].J Spinal Cord Med,2013,36(3):213-219.
[14] AMIRI A R,FOUYAS I P,CRO S,et al.Postoperative spinal epidural hematoma(SEH):incidence,risk factors,onset,and management[J].Spine J,2013,13(2):134-140.
[15] 安永慧,赵金彩,何丽英,等.腰椎管狭窄症术后持续负压与交替压力引流的比较[J].中国矫形外科杂志,2017,25(23):2148-2151.

更新日期/Last Update: 2020-12-15