恶性骨肿瘤切除骨关节重建术后感染分析  

Analysis of postoperative infection in patients with bone malignancy treated by tumor bone resection and replantation

作　　者：熊文渊[1] 王臻[1] 段宝玲[1] 

机构地区：[1]第四军医大学西京医院

出　　处：《中华医院感染学杂志》1998年第4期198-200,共3页Chinese Journal of Nosocomiology

摘　　要：目的控制骨肿瘤切除骨关节重建术的感染。方法对１１０例四肢恶性骨肿瘤切除骨关节重建术后感染的可能因素进行了分析。结果发现６种术式术后感染率为１１．８％，其中液氮灭活瘤段再植术后感染率最高，达２６％，第二高发者为同种异体骨关节置换术，为１１．１％，其感染主要表现为慢性感染。结论肢体抢救术式、患者免疫功能状态、抗生素的合理预防应用、排异反应及高质量的护理与术后感染的发生密切相关。OBJECTIVE In order to control postoperative infection in patients with bone malignancy treated by tamor bone resection and replantaaion was stuied. METHODS We analysed the possible factors of postoperative infections in bone malignancy treated by different tumor bone resection and replantation in 110 cases. RESULTS We found the total postoperative infection rate was 11.8% in 6 types of operation, 26% infection rate followed liquid Nu decitulization, and 11.1% found in allogenic bone replantation. CONCLUSION The results demonstrated that postoperative infections rate was significantly associated with the way of intraoperaton, also associated with the stage of immunological function, the select use of antibiotic prophylaxis, the intense of graft vesus reaction, and the quality of nursing.

关 键 词：骨肿瘤 肿瘤切除 关节重建 术后感染 

分 类 号：R739.96[医药卫生—肿瘤]