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高风险胃肠道手术中的负压伤疗法:对术后并发症的回顾性队列研究

İsmail Sezikli¹, Ramazan Topcu², Murat Kendirci¹

¹Department of General Surgery, Hitit University Faculty of Medicine, Çorum, 19030, Turkey.

BMC gastroenterology

|October 16, 2025

概括

负压伤疗法 (NPWT) 显著减少手术部位感染 (SSI) 和高风险胃肠道手术中的住院时间. 与传统方法相比,这种先进的伤口护理还可以降低切口的长期发病率.

科学领域:

手术创新在外科创新.
伤口管理伤口管理
胃肠道手术胃肠道手术

背景情况:

手术部位感染 (SSI) 是结肠直肠手术的一个主要并发症.
传统的伤口护理有局限性,导致病率增加和医疗保健成本增加.
负压伤口治疗 (NPWT) 提供先进的伤口管理好处.

研究的目的:

为了比较NPWT与传统伤口护理的疗效.
为了评估高风险胃肠道手术患者的结果.
评估对SSI,伤口愈合和切口的影响.

主要方法:

对141名患有受污染/脏伤口的患者进行了回顾性队列研究.
两个组:NPWT (47名患者) 和传统护理 (94名患者).
监测结果:SSI,伤口愈合,脱落,1个月和1年的切口.

主要成果:

NPWT组表现出明显较低的表面性SSI (6.4%vs18.1%) 和较短的住院时间 (8.9vs11.2天).
切口率在1个月 (6.4%对12.8%) 和1年 (6.4%对16.0%) 的NPWT显著降低.
在NPWT (2.1%对比9.6%) 观察到减少深层SSI的趋势.

结论:

在高风险的胃肠道手术中,NPWT有效减少SSI和住院时间.
NPWT显著降低了切口的长期发病率.
应将NPWT视为高风险手术伤口管理的标准,特别是在胃肠道手术中.

关键词:

复杂性复杂性复杂性高风险的胃肠道患者.负压伤口治疗疗法负压伤口治疗外科手术手术手术传统的伤口管理.

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