腹股沟疝无张力修补术预防性抗生素应用与否的对比研究  

Comparative study of prophylaxis antibiotics applied in the inguinal hernia free tension hernia repair

作　　者：吕波[1] 袁家天[1] 李叔强[1] 范俊[1] 王斌[1] 

机构地区：[1]成都大学附属医院普外科,四川成都610081

出　　处：《四川医学》2013年第9期1318-1319,共2页Sichuan Medical Journal

摘　　要：目的 探讨腹股沟疝无张力疝修补术中是否预防性应用抗生素对感染发生率的影响.方法 纳入我院2009年1月～2012年12月腹股沟疝行择期无张力疝修补术患者206例,按是否预防性应用抗生素分成两组：预防性使用抗生素组33例与不使用抗生素组173例,两组发生伤口感染率进行比较.结果 全部患者随访2个月～4年,预防性应用抗生素组伤口感染1例（3.03%）,不用抗生素组伤口感染6例（3.47%）,伤口感染率组间比较,差异无统计学意义.结论 在择期腹股沟疝无张力疝修补术并且达到预防性使用抗生素标准的患者中,不使用抗生素不会增加感染发生率.Objective To explore prophylaxis antibiotics applied in the inguinal free tension hernia repair. Methods To collect the inguinal hernia free tension hernia repair elective surgery patients in our hospital from 2009,1 to 2012,12, 206 cases were included. Then they were divided into two groups ： the prophylaxis antibiotic group 33 cases and without antibiotic group 173 cases, the wound infection rates were compared between two groups. Results All cases were followed up 2 months to 4 years. 1 case （3.03%） had wound infection in prophylaxis antibiotics group, 6 cases （3.47%） also happened wound infection in no anti- biotics group. The wound infection rate between groups was not statistically significant differences. Conclusion In the patients of free tension hernia inguinal hernia repair who reached standard of prophylactic use of antibiotics, without antibiotic will not in- crease the incidence of infections.

关 键 词：无张力疝修补术 腹股沟疝 预防性抗生素 

分 类 号：R656.2[医药卫生—外科学]