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目的探讨常压引流和负压引流在后腹腔镜肾癌根治术后的引流效果。方法将2013年10月-2014年12月在我院行后腹腔镜肾癌根治术的80例患者,随机分为观察组40例和对照组40例。观察组采用常压引流,对照组采用负压引流。比较两组患者在带管时间、术后伤口引流总量、引流并发症、引流护理所需工时上有无差异。结果观察组引流并发症(引流管堵塞)的发生率与护理引流所需总工时均低于对照组(P<0.01),两组在带管时间和术后引流总量方面的差异无统计学意义(P>0.05)。结论后腹腔镜肾癌根治术后常压引流和负压引流均能够达到预期效果,但常压引流并发症发生率低,节时省力,更有利于临床工作。
Objective To investigate the drainage effect of post-laparoscopic radical nephrectomy with atmospheric drainage and negative pressure drainage. Methods Eighty patients with retroperitoneal laparoscopic radical nephrectomy in our hospital from October 2013 to December 2014 were randomly divided into observation group (40 cases) and control group (40 cases). Observation group using atmospheric drainage, control group using negative pressure drainage. Patients in two groups were compared in terms of time spent with the tube, the total amount of wound drainage after drainage, drainage complications, drainage man-hours required. Results The incidence of drainage complications (drainage tube blockage) and total drainage time required for drainage in the observation group were lower than those in the control group (P <0.01). There was no statistical difference in the total drainage time Significance (P> 0.05). Conclusions Retroperitoneal drainage and negative pressure drainage after laparoscopic radical nephrectomy can achieve the expected results, but the incidence of complications of atmospheric drainage is low, saving time and labor, and more conducive to clinical work.