在患有下肠孔隙的患者中治疗伤口的切口负压伤口治疗
Yuhei Tsukazaki1, Hiroya Enomoto1, Nana Takeuchi1
1Department of Surgery, The Jikei University Daisan Hospital, Tokyo, Japan.
切口负压伤口治疗 (iNPWT) 显著减少了手术部位感染和伤口脱光在接受腹腔切除术的患者下肠穿孔. 这种创新方法为高风险的手术患者提供了更好的结果.
科学领域:
- 手术创新 在外科创新.
- 伤口管理 伤口管理
- 预防传染病 预防传染病
背景情况:
- 拉皮切除术用于下肠穿孔,具有手术部位感染 (SSI) 的高风险.
- 预防SSI和伤口脱光对于复杂的腹部手术后的患者康复至关重要.
研究的目的:
- 评估切口负压伤口治疗 (iNPWT) 在减少SSI方面的有效性.
- 评估iNPWT对下肠穿孔患者的伤口脱光的影响.
主要方法:
- 一项前性单中心研究将iNPWT应用 (A组,22名患者) 与历史对照组 (B组,65名患者) 相比较.
- iNPWT在-120 mmHg下进行了5天的治疗,总共10天的治疗.
- 在iNPWT组中,伤口关闭使用了皮下 sutures.
主要成果:
- 与对照组 (52.3%,p < 0.001) 相比,iNPWT组中SSI的发病率明显较低 (9.1%).
- 在iNPWT组中没有发生伤口脱光的情况,而对照组中为4.6%.
- 多变量分析证实iNPWT应用是减少SSI的一个重要因素 (p = 0.002).
结论:
- iNPWT是一种有效的干预措施,用于减少手术部位感染的患者下肠道穿孔.
- 在这种高风险的手术群体中,iNPWT的使用在预防伤口并发症方面具有显著的益处.
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