胆管空肠Roux-Y吻合术后胆道感染相关因素分析  

Related factors of biliary tract infection after bile duct jejunum Roux-Y anastomosis

作　　者：祝翠霞[1] 王超洋[1] 王宝枝[1] 

机构地区：[1]江山市人民医院神经外科,浙江江山324100

出　　处：《中华医院感染学杂志》2011年第10期2030-2032,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨胆管空肠Roux-Y吻合术后胆道感染的危险因素。方法回顾性分析2006年1月-2010年10月行胆管空肠Roux-Y吻合术87例的病例资料,对胆道感染相关因素进行logistic回归分析。结果 87例中有12例占13.79%术后出现胆道感染;单因素分析表明,术前黄疸减退、吻合口直径、胆管空肠吻合术式与术后胆道感染有显著相关性(P<0.05);而年龄、性别、术前黄疸持续时间、术前胆红素水平、术中抗菌药物应用、术中输血量、手术时间与胆道感染无明显相关(P>0.05);多因素分析表明,吻合口直径(OR=0.226,P=0.023)、胆管空肠吻合术式(OR=9.628,P=0.039)为影响胆道感染的危险因素。结论吻合口直径≤2.0 cm,胆管空肠侧吻合为Roux-Y吻合术后胆道感染发生的独立危险因素。OBJECTIVE To investigate the risk factors of infection of biliary tract after bile duct jejunum Roux-Y anastomosis.METHODS A total of 87 cases with bile duct jejunum Roux-Y anastomosis from Jan.2006 to Oct.2010 were retrospectively studied.The related risk factors of infection of biliary tract were chosen and multifactor logistic regression analysis was made.RESULTS The occurrence of infection of biliary tract was 13.79%.Univariate analysis showed that preoperative biliary drainage,diameter of anastomotic stoma and types of anastomosis of cholangiojejunostomy presented significant correlation to infection of biliary tract（P0.05）.Multivariate analysis showed that the diameter of anastomotic stoma（OR=0.226,P=0.023） and types of anastomosis of cholangiojejunostomy（OR=9.628,P=0.039） were the important risk factors of biliary tract infection.CONCLUSION The diameter of anastomotic stoma is less than 2.0 cm and anastomosis of cholangiojejunostomy are the independent risk factors for infection of biliary tract.

关 键 词：胆管空肠ROUX-Y吻合术 胆道感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]