经阴道盆腔手术感染原因分析及对策  

作　　者：包洪丽[1] 温菁[1] 

机构地区：[1]大连大学附属中山医院妇产科,116001

出　　处：《当代医学》2012年第25期44-46,共3页Contemporary Medicine

摘　　要：目的分析阴式手术的感染原因,提高阴式妇科手术的质量。方法收集2004年11月～2010年12月共计226例阴式妇科系列手术患者,研究组106例,对照组120例。结果阴式妇科系列手术术后病率对照组28.33%,盆腔感染9例,感染率为7.50%,其中经阴道子宫肌瘤剔除感染率为13.05%。经改进对策后,仅术后病率在研究组为11.32%,其余感染控制在0%。结论阴道的特殊环境、术野与肛门近、术野小致组织暴露时间长、出血量多等原因易引起盆腔感染。术前强调阴道和肠道准备、围手术期规范应用抗生素、熟练手术技巧、术后阴道后穹窿放置引流管、重视术后的观察和会阴护理可预防和明显减少感染和术后病率的发生。Objective Analysis transvaginal surgery＇s infection reason, improves the transvaginal surgery＇s quality. Methods Collected my courtyard from November 2004 to December 2010 total 226 cases transvaginal series surgery patient, the study group 106 examples, the control group 120 examples. Results Transvaginal series surgery technique, the getting sick rate control group 29.33%, the pelvic cavity infects 9 cases, the infection percentage is 7.50%, vaginal myomectomy the infection percentage is 13.05%. After improving the countermeasure, after only technique, the getting sick rate in the study group is 11.32%, other infection control in 0%. Conclusion Vagina＇s special environment, the technique are wildly near with the anus, the technique wild slightly sends the organization detection time long, the volume of blood many and so on reasons easy to cause the pelvic cavity to infect. Before the technique, emphasized after the vagina and the intestinal tract preparation, encircles the surgery time standard application antibiotic, the skilled surgery skill, the technique, after the vagina, after the dome laying aside drainage tube, takes the technique after the observation and the perineum nursing may prevent and the obvious reduced infection and the technique, getting sick rate occurrence.

关 键 词：阴式妇科手术 盆腔感染 对策 

分 类 号：R713[医药卫生—妇产科学]