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- W2466500246 abstract "背景：腹会陰式直腸切断術（APR）や骨盤内臓器全摘術（TPE）における会陰創の合併症の発生率は高い．陰圧閉鎖療法（NPWT）は，閉鎖環境下に陰圧をかけて創傷治癒を促進する療法であり，難治性の創部に用いられ良好な成績が得られている．目的：NPWTの会陰創合併症防止に対する効果を検討する．対象と方法：2014年9月から2016年1月に，APR，TPE術後の会陰創管理にNPWTを使用した16例を対象に，患者背景および創部合併症の発生率をNPWT未施行で管理した111例と後向きに比較検討した．結果：NPWT群で，術前化学療法と腹腔鏡手術の割合が高く，出血量は少なかった．会陰創合併症は，NPWT（－）群で，11例（10％）に創離開，36例（32.4％）に創感染を認めたが，NPWT群では，創離開はなく，創感染も2例（12.5％）であった．結語：NPWTは会陰創の合併症防止に有効である可能性が示唆された．" @default.
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- W2466500246 date "2016-01-01" @default.
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- W2466500246 title "The Effect of Negative Pressure Wound Therapy for Perineal Wound after Rectal Amputation" @default.
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