發(fā)布時(shí)間：2018-01-13 18:38

  本文關(guān)鍵詞：低危腹腔鏡腹股溝疝修補(bǔ)術(shù)使用預(yù)防性抗生素的前瞻性研究　出處：《中華疝和腹壁外科雜志(電子版)》2016年06期 　論文類型：期刊論文

  更多相關(guān)文章： 疝 腹股溝 疝修補(bǔ)術(shù) 感染

【摘要】：目的探討腹股溝疝患者行腹腔鏡腹膜前腹股溝疝修補(bǔ)術(shù)是否需要使用預(yù)防性抗生素。方法按照隨機(jī)雙盲法,前瞻性研究分析2015年5~12月,上海市東方醫(yī)院200例腹腔鏡下腹膜前腹股溝疝修補(bǔ)手術(shù)患者的臨床資料,每組患者100例。非使用預(yù)防性生素組(試驗(yàn)組)術(shù)前30 min僅給予0.5%氯化鈉溶液100 ml靜脈滴注,而使用預(yù)防性抗生素組(對(duì)照組)術(shù)前30 min給予頭孢唑林鈉2 g+0.5%氯化鈉溶液100 ml靜脈滴注。結(jié)果術(shù)中1例TEP中轉(zhuǎn)TAPP,1例TAPP中轉(zhuǎn)開放,術(shù)后15例失訪。最終入組183例,入組率91.5%,其中試驗(yàn)組89例(89%),對(duì)照組94例(94%)。2組患者在手術(shù)部位感染、術(shù)后發(fā)熱、血清腫和血腫的發(fā)生率上差異均無統(tǒng)計(jì)學(xué)意義(χ2=0.000、0.002、0.688、0.002,P=1.000、0.962、0.407、0.962)。結(jié)論對(duì)于低危腹腔鏡腹膜前腹股溝疝修補(bǔ)術(shù),沒有必要使用抗生素預(yù)防術(shù)后手術(shù)部位感染,不使用預(yù)防性抗生素也不會(huì)增加術(shù)后發(fā)熱、血腫或血清腫的發(fā)生率。
[Abstract]:Objective to investigate the need of prophylactic antibiotics for laparoscopic preperitoneal hernia repair in patients with inguinal hernia. Clinical data of 200 patients undergoing laparoscopic anterior inguinal hernia repair in Oriental Hospital of Shanghai. One hundred patients in each group were given only 100ml sodium chloride solution 30 min before operation in the non-use preventive biotin group (trial group). The preventive antibiotic group (control group) was given cefazolin sodium 2 g 0.5% sodium chloride solution 100ml intravenous drip 30 min before operation. Results one case of TEP was transferred to TAPP during the operation. One case of TAPP was turned to open, 15 cases lost the visit after operation. Finally, 183 cases were admitted into the group, the rate of entry was 91.5%, of which 89 cases were in the test group (89 cases). There was no significant difference in the incidence of infection, fever, serum swelling and hematoma in 94 patients in the control group (蠂 2 + 0.000 鹵0.002). Conclusion low risk laparoscopic preperitoneal inguinal hernioplasty was performed. There is no need to use antibiotics to prevent postoperative site infection, and no use of prophylactic antibiotics does not increase the incidence of postoperative fever, hematoma or serum swelling.
【作者單位】： 上海市東方醫(yī)院疝與腹壁外科;
【分類號(hào)】：R656.21
【正文快照】： 腹腔鏡下腹股溝疝修補(bǔ)術(shù)(laparoscopic inguinalhernia repair,LIHR)在國內(nèi)已經(jīng)得到越來越多的應(yīng)用,其中最有代表性的就是經(jīng)腹腹膜前疝修補(bǔ)術(shù)(trans-abdominal pre-peritoneal,TAPP)和完全腹膜作者單位:200120上海市東方醫(yī)院疝與腹壁外科外疝修補(bǔ)術(shù)(totally extra-peritoneal,

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 何長林;預(yù)防性抗生素在外科的使用[J];蚌埠醫(yī)學(xué)院學(xué)報(bào);1986年01期

2 周曉平;;預(yù)防性抗生素在外科中應(yīng)用[J];國外醫(yī)學(xué).護(hù)理學(xué)分冊(cè);1988年02期

3 龐曉捷 ,向偉 ,彭義德 ,劉陽春;外科清潔手術(shù)預(yù)防性抗生素應(yīng)用調(diào)查分析[J];交通醫(yī)學(xué);2002年04期

4 ;規(guī)范手術(shù)后預(yù)防性抗生素的應(yīng)用[J];中華普通外科學(xué)文獻(xiàn)(電子版);2013年02期

5 羅江明;;預(yù)防性抗生素在血管外科中的作用——前瞻性、隨機(jī)雙盲研究[J];國外醫(yī)學(xué).外科學(xué)分冊(cè);1985年02期

6 楊鎮(zhèn),夏穗生;預(yù)防性抗生素在普通外科的應(yīng)用[J];臨床醫(yī)學(xué)雜志;1989年02期

7 宋華榮;張靜U，

本文編號(hào)：1420075