急性胆囊炎腹腔镜胆囊切除术后脐部切口感染分析  

Analysis of umbilical incisional infection in patients with acute cholecystitis after laparoscopic cholecystectomy

作　　者：秦安[1] 孙键[1] 

机构地区：[1]无锡市第五人民医院普外科,江苏无锡214073

出　　处：《现代医药卫生》2005年第11期1334-1335,共2页Journal of Modern Medicine & Health

摘　　要：目的:总结急性胆囊炎腹腔镜胆囊切除术(LC)后脐部切口感染的发生因素,提出预防措施。方法:回顾2002年10月～2005年1月265例行LC的急性胆囊炎病例,分析并发脐部切口感染的原因。结果:265例患者中感染18例,脐孔感染率为6.79%。结论:脐部切口感染与切口污染、切口压榨损伤、脐部解剖特点、术中缝合方式等多种因素有关。针对这些因素,预防脐部切口感染需采取综合措施。Objective:To summarize the factors related with umbilical incisional infection in patients with acute cholecystitis after laparoˉscopic cholecystectomy(LC),and propose its precautionary measure.Methods:265cases of acute cholecystitis from October2002to January2005treated with LC in our hospital were reviewed,and the reasons of umbilical incisional infection were analysed.Results:The infection in265cases with acute cholecystitis after operation was18cases,the infection rate of umbilical incisional infection was6.79%.Conclusion:The infection of umbilical incisionwas relatedwith man factors such as the pollution ofwound,expression injury of incision,peculicarity of umbilical tissue,suturing way during operation and so on.In view of the above-mentioned factors,complex measure should be adopted in the prevention of umbilical inciˉsional infection.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术后 感染分析 脐部切口 腹腔镜胆囊切除术(LC) 2002年10月 切口感染 2005年 发生因素 预防措施 切口污染 解剖特点 缝合方式 综合措施 感染率 

分 类 号：R657.41[医药卫生—外科学] R512.6[医药卫生—临床医学]