肝囊型包虫病术区感染的高危因素分析  

Analysis of Risk Factors for Surgical Site Infection of Hepatic Cystic Echinococcosis

作　　者：魏玉超[1] 邵英梅[1] 

机构地区：[1]新疆医科大学第一附属医院消化血管中心肝胆包虫外科,乌鲁木齐830054

出　　处：《医学综述》2014年第9期1597-1600,共4页Medical Recapitulate

摘　　要：肝囊型包虫病(HCE)目前主要以外科手术治疗为主,近年来,随着肝胆外科技术的不断进步,HCE手术方式有较大改善,主要手术方式有外囊完整剥除术、外囊次全切除术、肝部分切除术、内囊摘除术等。但不同术式的HCE术后常有各种并发症发生,尤其以残腔感染和膈下感染较为严重,主要影响术区感染发生的高危因素有残肝面及包虫残腔的处理情况,术后残肝面的处理情况,手术方式的选择,术中出血量,术前营养状况等。因此,如何有效地减少术后术区感染的发生对改善患者术后生活质量具有重要的临床意义。Hepatic cystic eehinococcosis（H（SE） is mainly treated by the surgical operation currently. In recent years,with the development of hepatobiliary surgery, HCE operation approach has improved greatly, and the main surgery approaches include total cystectomy, subtotal cystectomy, liver partial resection, and internal cystectomy. Different surgical approaches of HCE often have various complications after surgery, especiaUy the residual cavity infection and subphrenic infection. The main risk factors affecting the surgical site infectionsare handling of the remnant hepatic surface and echinococcosis residual cavity, the handling of postoperative remnant liver surface, the choice of surgical approach, intraoperative blood loss, and preoperative nutritional status. Therefore, how to reduce the incidence of postoperative surgical site infection effectively has great clinical significance for the life quality of the patients.

关 键 词：肝囊型包虫病 残腔感染 膈下感染 

分 类 号：R657.3[医药卫生—外科学]