摘要
目的:比较腰椎后路椎间融合术(PLIF)术后患者术口采用持续负压引流与间断负压引流方式的临床效果。方法:对2016年1月—2017年6月我科腰椎行PLIF手术治疗患者61例进行回顾性分析,根据术后术口引流方式的不同,将其随机分为持续负压组(n=31)和间断负压组(n=30),统计两组患者术后总引流量、术后拔管时血红蛋白量及术后术口并发症(包括术口再渗血、皮下积血、感染等)。结果:两组患者年龄、性别、疾病类型、手术时间、术中出血量比较差异均无统计学意义(P>0. 05),具有可比性。间断负压组术后总引流量小于持续负压组,差异有统计学意义(P <0. 05)。间断负压组术后拔管时血红蛋白量高于持续负压组,差异有统计学意义(P <0. 05)。两组拔除引流管后均未出现明显术口再渗血、皮下积血、感染等并发症。结论:腰椎PLIF术后采用间断负压引流方式可明显减少术后引流血量,降低术后术口并发症,是一种较好的引流方式。
Objective: To compare the clinical effect in continuous negative pressure drainage versus and intermittent drainage after Lumbar PLIF Surgery. Methods: A retrospective study was performed in 61 lumbar spine disease treated by PLIF operation from January2016 to June 2017 were divided into continuous negative pressure drainage group( n = 31) and intermittent drainage group( n = 30)randomly according to different drainage way. The total volume of drainage,volume of hemoglobin and postoperative incision complications( including re-oozing of blood,subcutaneous blood accumulation and infection) were observed and compared between the two groups. Results: There was no significant difference between the two groups in age,sex,disease type,operation time and intraoperative blood loss( P > 0. 05). The intermittent drainage group had statistically less total volume of drainage than the continuous negative pressure drainage group( P < 0. 05). The volume of hemoglobin in intermittent drainage group was higher than the alternative group( P < 0.05). There was no re-oozing bleeding,subcutaneous blood accumulation,and infection in both groups. Conclusion: The intermittent negative pressure drainage is a good drainage method for clinical selection which can significantly reduce postoperative drainage volume and reduce postoperative incision complications.
引文
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