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

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莊永敬 , 吳桂榮 , 王曉春 , 吳小超

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Keywords：

闌尾炎; 闌尾切除; 切口感染

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目的探討闌尾切除術后腹腔引流放置與否對切口感染的影響。方法回顧性分析1 719例闌尾手術的引流情況和切口感染情況。結果引流組切口感染率為50.93%，未引流組為3.17%(P lt;0.005)。其中單純性闌尾炎引流組感染率為33.33%，未引流組為1.66%；化膿性闌尾炎引流組感染率為46.43%，未引流組為3.12%；壞疽性闌尾炎引流組感染率為56.25%，未引流組為20.00%；穿孔性闌尾炎引流組感染率為54.95%，未引流組為23.08%。結論無論何種類型闌尾炎，術后放置腹腔內引流均可能增加切口感染。

Citation： 莊永敬,吳桂榮,王曉春,吳小超. 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. 馮祖亮. 穿孔型或壞疽型闌尾炎術后放置腹腔內引流管弊多利少 [J].普外臨床，1993； 5（3）∶315.
3. 汪中. 闌尾切除術切口感染因素與預防措施 [J].實用外科雜志，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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