异位妊娠腹腔镜手术切口感染的危险因素分析  

Retrospective analysis of risk factors for laparoscopic incisional infection in ectopic pregnancy

作　　者：史欣[1] 杜岚[1] 叶连红[1] 

机构地区：[1]西安市第四医院妇产科,陕西西安710004

出　　处：《中国妇幼健康研究》2013年第5期779-780,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的探究影响异位妊娠腹腔镜手术切口感染的因素,为科学地预防术后感染提供理论依据。方法回顾性分析2005年3月至2011年3月间在西安市第四医院妇产科接受异位妊娠经腹腔镜手术后切口感染27例患者的资料,以同期314例无切口感染的异位妊娠腹腔镜手术患者为对照,通过多因素Logistic回归检验分析术后切口感染的危险因素。结果经多因素Logistic回归检验分析结果显示:合并糖尿病(β=1.001,OR=2.634)、血红蛋白水平(β=0.964,OR=2.230)、夏季手术(β=1.204,OR=2.013)和急诊(β=1.723,OR=3.437)是异位妊娠腹腔镜术后切口感染的独立危险因素。结论对于异位妊娠腹腔镜手术患者,临床医生应参考上述分析结果,积极做好感染的预防和处理工作,降低术后切口感染的发生。Objective To explore the risk factors of laparoscopic incisional wound infection in ectopic pregnancy , so as to provide some theoretical basis for scientific prevention of postoperative infection .Methods From March 2005 to March 2011, 27 cases accepting laparoscopic surgery for ectopic pregnancy in the department of gynecology and obstetrics of Xi ＇ an Fourth Hospital had postoperative infection.Their clinical data were retrospectively analyzed .The other 314 cases of ectopic pregnancy at the same period with laparoscopic operation but without incisional infection were selected as controls in the study .Multivariate Logistic regression analysis was conducted to identify the risk factors of postoperative infection .Results Multivariate Logistic regression test analysis showed that diabetes （β=1.001, OR=2.634）, hemoglobin level （β=0.964,OR=2.230）, surgery in summer （β=1.204,OR=2.013） and emergency （β=1.723, OR=3.437） were independent risk factors for laparoscopic incisional wound infection in ectopic pregnancy .Conclusion To reduce the incisional infection of ectopic pregnancy by laparoscopic operation , all of the above factors above should be considered synthetically .

关 键 词：异位妊娠 手术 切口感染 影响因素 

分 类 号：R711.1[医药卫生—妇产科学]