【摘要】 目的探讨淋巴结结核术后残腔内放置负压引流管与传统"橡皮条烟卷"引流的对照研究。方法选取2012年1月~2014年12月间,我院收治的100例患者作为研究对象,根据随机对照试验原则,将患者随机均分为实验组和对照组,每组各50例,实验组患者术后残腔内放置负压引流管,对照组患者采取传统"橡皮条烟卷"引流患者50例划分为对照组,比较两组患者术后并发症发生率、切口愈合时间、术后随访复发率。结果实验组患者术后发生残腔积液2例,无切口感染,术后并发症发生率为4.00%,对照组患者术后发生切口感染1例,残腔积液3例,术后并发症发生率为8%,两组比较,差异具有统计学意义(X2=0.005,P<0.05);两组患者术后伤口愈合时间无统计学差异(P>0.05),术后随访时间为1年~3年,平均随访时间为(1.42±0.73)年,随访中实验组组复发1例、复发率为2.00%,对照组组复发4例、复发率为8%,两组复发率比较,差异具有统计学意义(P<0.05)。结论淋巴结结核术后残腔内放置负压引流管,患者术后并发症发生少、术后切口愈合时间短、复发率较低,且可将术后引流量小于5ml/d作为拔管指征。更多还原

【Abstract】 Objective Aim Discuss the influence of operative prognosis from placing the negative pressure tube in residual cavity after lymph node tuberculosis surgery. Methods Select 50(negative pressure drainage tube after operation) cases of abscess cervical tuberculosis lymphadenitis which have the operative treatment as experimental group from July 2013 to December 2014. And select 50 cases of abscess cervical tuberculosis lymphadenitis which take the traditional way of drainage "eraser cigarettes" as control group from January 2012 to July 2013. Compare two groups of patients with postoperative 1 complications, incision healing time and postoperative follow-up recurrence rate. Results The experimental group occurred postoperative residual cavity effusion in 2 cases, no incision infection, the incidence of postoperative complications was 4.00%. The control group occurred infection of incision in 1 case, postoperative residual cavity effusion in 3 cases,, the incidence of postoperative complications was 8.00%. Comparing the two groups, the difference has statistical significance(X2=0.005,P<0.05). Two groups of patients with postoperative wound healing time has no statistical difference(P>0.05), Postoperative follow-up time is 1 year to 3 years, and average follow-up time is(1.42 + 0.73) years. During follow-up visits, in experimental group recurrence in 1 case, the recurrence rate was 2.00%, in control group recurrence in 4 case, the recurrence rate was8.00%. Compared the two groups of Recurrence, the difference has statistical significance(P < 0.05). Conclusion Placing the negative pressure tube in residual cavity after lymph node tuberculosis surgery can lead patients with less postoperative complications and postoperative incision healing time is short, the recurrence rate is low, and had the flow can be less than 5 ml/d as extubation indications.更多还原