[1]罗国德,曹永宽,张 林,等.无张力腹股沟疝修补术在围术期不使用抗生素的临床研究[J].医学研究与战创伤救治(原医学研究生学报),2013,15(01):24-26.
LUO Guo-de,CAO Yong-kuan,ZHANG Lin,et al.The clinical research of tension-free repair treatment inguinal hernia without use of antibiotics in the perioperative period[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(01):24-26.
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无张力腹股沟疝修补术在围术期不使用抗生素的临床研究(
)
LUO Guo-de,CAO Yong-kuan,ZHANG Lin,et al.The clinical research of tension-free repair treatment inguinal hernia without use of antibiotics in the perioperative period[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(01):24-26.
)《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]
- 卷:
- 第15卷
- 期数:
- 2013年01期
- 页码:
- 24-26
- 栏目:
- 出版日期:
- 2013-01-20
文章信息/Info
- Title:
- The clinical research of tension-free repair treatment inguinal hernia without use of antibiotics in the perioperative period
- 文章编号:
- 1672-271X(2013)01-0024-03
- 分类号:
- R656.21
- DOI:
- -
- 文献标志码:
- A
- 摘要:
- 目的 探讨无张力疝修补术治疗腹股沟疝在围术期不使用抗生素的可行性和安全性。方法 采用统一入组标准，同期临床对比研究方法，对应用无张力疝修补术治疗59例腹股沟疝临床资料进行分析，其中以围术期未使用抗生素29例作为观察组，在围术期常规使用抗生素30例作为对照组，比较术后住院时间及手术切口愈合情况。结果 两组病例全部治愈，观察组术后住院时间为(3.41±0.94)d，对照组术后住院时间为(3.27±0.68)d，组间差异无统计学意义(P＞0.05)；术后5~15 d随访，3例失访，观察组和对照组出现切口脂肪液化各1例，出现切口局部感染(surgical site infection，SSI)各1例，经门诊换药治疗后治愈，组间差异无统计学意义(P＞0.05)；观察组手术切口甲级愈合为27例，对照组手术切口甲级愈合为28例，组间差异无统计学意义(P＞0.05)。结论 无张力疝修补术治疗腹股沟疝在围术期不使用抗生素是安全可行的，但应注意病例的选择。
- Abstract:
- Objective To explore the feasibility and safety of tension-free repair treatment of inguinal hernia no use of antibiotics in the perioperative period.Methods The same including standards and double-blind randomized control study were carried out to compare the postoperative hospital stay and condition of operative incision in 59 patients who underwent tension-free hernia repair for inguinal hernia from February 2011 to October 2011.Among them,29 patients without use of antibiotics were included in study group,and 30 patients who use of antibiotics were included in control group.Results All cases were cured completely.Compared with the control group,postoperative hospital stay was not significantly different between the two groups (P＞0.05).Postoperative follow-up from 5 to 15 days,3 cases lost to follow-up,1 case appear fat liquefaction and surgical site infection in incision for per group,and are cured by change a medical prescription at outpatient department( P＞0.05) were not significantly different between the two groups.Operative incision class A healing were 27 cases vs 28 cases ( P＞0.05) and were not significantly different between the two groups.Conclusion It is safety and feasible fortension-free hernia repair treatment inguinal hernia which may not use of antibiotics in the perioperative period,but should pay attention to the choice of case.
参考文献/References:
[1]王京立，杨敖霖，李界明.充填式无张力疝修补术应用中的相关问题[J].东南国防医药,2004,6(3):190-191.
[2]张 清，黄润生，党胜春.疝环充填式无张力疝修补术在腹股沟疝中的应用[J].东南国防医药,2004,5(3):163-165.
[3]史坚强，高 翔，刘 静，等.疝环充填式无张力修补术358例[J].东南国防医,2004,13(2):157-158.
[4]覃勇民，黄丽珍，胡素英.Ⅰ类切口手术276例预防性使用抗菌药物情况分析[J].右江民族医学院学报，2011，1(1):35-36.
[5]Taylor EW,Duffy K,Lee K,et al.Surgical site infection after groin hernia repair[J].Br J Surg，2004,9(1):1052.
[6]陈 晔，顾文军.腹股沟疝无张力修补围手术期预防性抗生素合理使用[J].中国医药，2006,10(6):25-26.
[7]Aufenacher TJ,Koelemay MJ,Gouma DJ,et al.Systematic review and metaanalysis of the effectiveness of antibiotic prophlaxis in prevention of wound infection after mesh repair of abdominal wall hernia[J].Br J Surg,2006,9(3):5210-5211.
[8]中华人民共和国卫生部，国家中医药管理局，中国人民解放军总后勤部卫生部.抗菌药物临床应用指导原则[J].中华医学杂志，2004,84(23):2026-2056.
[9]王 军，刘雪飞，曲玉梅.腹股沟疝无张力修补术术后是否使用抗生素11例分析[J].中外医疗，2009，6(1):80-81.
[10]赵 辨.临床皮肤病学[M].3版.南京:江苏科学技术出版社.2001:333.
[11]马 琳.外用抗生素在感染性皮肤病中的临床运用[J].实用皮肤病学杂志,2009,2(1):20-22.
[12]史占军，张亚莉，景宗森.规范化与长期应用抗生素预防术后伤口感染的效果对比[J].中华医院感染学杂志,2003,13(1):57-59.
相似文献/References:
[1]史坚强,高 翔,刘 静,等.疝环充填式无张力修补术358例[J].医学研究与战创伤救治(原医学研究生学报),2011,13(02):157.
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