Objective To invesligale the feasibility of preventive abdominal drainage after laparoscopic appendectomy for complicated appendicitis. Methods The clinical data of 196 palienls with complicated appendicitis underwent laparoscopic appendectomy were relrospec-tively analyzed, including 100 cases of drainage and 96 cases of non-drainage. The incidences of complicalion and hospital duration were compared between the Lwo groups. Results The overall complicalion incidences and abdominal infeclion rale were lower in palienls withoul drainage compared with those of palienls with drainage,and the differences were of slalislical significances,P <0. 05. There was no difference in incidence of abdominal abscess between the lwo groups, P>0. 05. The hospital duration was longer in palienls with drainage. Conclusion It is unnecessary to perform abdominal drainage after laparoscopic appendeclomy for complicated appendicilis,it will increase the incidences of posloperalive complications inslead.%目的 探讨复杂性阑尾炎腔镜切除术后预防性置管引流的可行性.方法 回顾性分析196例行腔镜切除复杂性阑尾炎患者的临床资料,其中预防性置管引流96例,未预防性置管引流100例,比较两组术后并发症的发生率及住院天数.结果 术后总体并发症发生率及腹壁感染率置管组较未置管组高,且差异有统计学意义(P<0.05).腹腔脓肿等并发症发生率两组之间无统计学差异(P>0.05).置管组住院天数明显延长.结论 复杂性阑尾炎行腹腔镜阑尾切除术后常规放置腹腔引流没有必要,反而增加术后并发症的发生率.
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