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目的 传统的Miles手术会阴伤口敞开 ,术后长期换药 ,不仅影响住院时间 ,也给患者带来痛苦。改善会阴创口的处理是解决上述问题的关键。方法 为了保证会阴伤口的一期愈合 ,必须探讨导致裂开的因素。结果 在一期缝合的病例中发生伤口裂开 9.6 1% ,与创面渗血积液有关。故术后有效的腔窝引流 ,术中无菌操作 ,降低感染来源 ,盆底腹膜不予关闭可使内脏下垂填塞死腔 ,从而促进伤口迅速愈合。结论 早中期低位直肠肿瘤会阴伤口均可一期缝合 ,经腹壁的腔内有效负压引流。不关闭盆底腹膜 ,使内脏下垂 ,使腔隙成为腹腔的一部分 ,有利于渗液吸收及充填 ,保证伤口一期愈合
The purpose of the traditional Miles surgery perineal wound open, long-term dressing after surgery, not only affect the length of stay, but also to patients with pain. Improving perineal wound treatment is the key to solve the above problems. Methods In order to ensure the first episode of perineal wounds, the factors leading to dehiscence must be explored. Results in a case of suture wound wound 9.61% occurred, and wound bleeding related to effusion. Therefore, the effective postoperative drainage of the cavity, aseptic technique during operation to reduce the source of infection, pelvic peritoneum can not close off the filling of dead space, thereby promoting rapid wound healing. Conclusions Early perioperative low rectal tumors perineal wounds can be a suture, the cavity of the effective negative pressure within the drainage cavity. Do not close the pelvic peritoneum, leaving the visceral ptosis, the cavity into a part of the abdominal cavity is conducive to exudate absorption and filling to ensure a wound healing