衣原体和支原体感染对痔瘘裂术后创面愈合的影响  

Effects of Chlamydia and Mycoplasma Infections on the Healing of Wounds after Surgery for Haemorrhoids,Fistula and Anoschisis

作　　者：陈艳 刘敏 周贤军 

机构地区：[1]武汉市第八医院痔瘘科,武汉430010

出　　处：《华中科技大学学报（医学版）》2009年第6期856-857,共2页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨痔瘘裂术后衣原体和支原体感染对创面愈合的影响。方法62例2000年1月～2008年10月在武汉市第八医院行痔瘘裂手术的患者,术后经常规抗炎、换药等治疗,40 d后伤口未愈且创面感染,实验室衣原体(Ct)和支原体(Uu)检测至少1项阳性,并排除了其它真菌、细菌和病毒等感染及全身其它疾病影响。对62例患者衣原体和支原体的感染情况及与患者性别、手术类型的关系进行分析。结果62例中衣原体和支原体双阳性30例(48.4%),衣原体阳性22例(35.5%),支原体阳性10例(16.1%)。女性患者感染率显著高于男性(P<0.01)。62例患者的手术类型分别为:痔疮手术8例(12.9%)、肛瘘手术18例(29.0%)、肛裂手术36例(58.1%)。结论肛门部位手术后创面愈合延迟的患者,应考虑衣原体和支原体感染的可能,早发现早治疗,避免无效用药和反复处理创面,将有利于缩短愈合周期。Objective To explore the effects of chlamydia and mycoplasma infections on the healing of wounds after surgical operation for haemorrhoids,fistula and anoschisis.Methods Sixty-two patients with haemorrhoids,fistula and anoschisis undergoing the surgical operation during 2000.1 to 2008.10 were collected,and wounds did not heal 40 days after operation and the wound＇s surface infection occurred after postoperative anti-inflammatory therapy and dressing change.All patients were positive at least for laboratory Ct or Uu,and those with infections caused by other fungi,bacteria,viruses and the other systemic diseases were excluded.The correlation between the infections in 62 cases and sex,surgical types was analyzed.Results In 62 patients,there were 30 cases（48.4%）positive for both Ct and Uu,22 cases for single Ct（35.5%）,and 10 cases for single Uu（16.1%）,respectively.The infection rate in females was higher than in males（P〈0.01）.The surgical types included：surgery for 8 cases of haemorrhoi多ds（12.9%）,for 18 cases of fistula（29.0%）,and for 36 cases of anoschisis（58.1%）,respectively.Conclusion There is the possibility of chlamydia and mycoplasma infections in the patients with delayed healing of wounds following the surgical treatment on the anal region.Early diagnosis,early treatment,avoidance of ineffective medicines and repeatedly management of the wounds can shorten the healing period.

关 键 词：衣原体 支原体 肛周手术 创面愈合 

分 类 号：R657.1[医药卫生—外科学]