肝癌患者Glission蒂横断式肝切除术的应用与感染预防  

Glission pedicle cross-sectional hepatectomy for liver cancer and infection prevention during operation

作　　者：杨科[1] 杨启[1] 秦长岭[1] 

机构地区：[1]南阳市中心医院肝脏普外科,河南南阳473003

出　　处：《中华医院感染学杂志》2015年第13期3037-3039,共3页Chinese Journal of Nosocomiology

基　　金：河南省卫生厅规划基金资助项目(HW-2010B-029)

摘　　要：目的探讨肝癌患者行Glission蒂横断式肝切除术的应用以及术后医院感染的相关因素,并制定相应的感染预防措施,以降低肝癌患者术后医院感染的发生率。方法选择2010年6月-2012年6月收治的肝癌患者54例,采用Glission蒂横断式肝切除术进行治疗,观察患者手术结果及术后医院感染率,采用SPSS 19.0软件对数据进行统计分析。结果 54例患者均成功实施Glission蒂横断式肝切除术,手术时间(165.70±31.50)min,手术出血量(345±50)ml,术后发生医院感染9例,感染率为16.67%;其中发生呼吸道感染4例占44.44%、切口感染4例占44.44%、其他感染部位1例占11.12%;年龄、术中出血量、住院时间为术后发生医院感染的危险因素。结论 Glission蒂横断式肝切除术操作简单、术中出血少、能减少经门静脉的肝内转移、提高肝癌患者手术安全性;但是在术后需要重视对医院感染的预防,将术后医院感染的发生率降至最低。OBJECTIVE To investigate the Glission pedicle cross‐sectional hepatectomy for liver cancer and related factors of nosocomial infection after operation ,and put forward the corresponding prevention measures ,so as to reduce the incidence of postoperative nosocomial infections in patients .METHODS Totally 54 patients with liver cancer admitted to our hospital in Jun .2010‐Jun .2012 were selected ,and Glission pedicle cross‐sectional hepa‐tectomy was used for treatment .The SPSS 19 .0 software was used for statistical analysis of data .RESULTS Glis‐sion pedicle cross‐sectional hepatectomy was successfully for the 54 patients .The operation time was （165 .70 ± 31 .50） min and the operation hemorrhage amount was （345 ± 50） ml .Postoperative nosocomial infections oc‐curred in 9 patients ,the infection rate was 16 .67% ,including respiratory tract infections in 4 patients （44 .44% ） , wound infection in 4 patients （44 .44% ） ,and other sites of infection in 1 patient （11 .12% ） .Age ,the amount of intraoperative bleeding , postoperative hospitalization time were the risk factors of nosocomial infections . CONCLUSION Glission pedicle cross‐sectional hepatectomy is easy to operate and causes less bleeding during oper‐ation ,which can reduce intrahepatic metastasis through portal vein and improve the operation safety ,but attention needs to be paid to the prevention of nosocomial infections to minimize incidence of postoperative nosocomial infections .

关 键 词：肝癌 Glission蒂横断式 肝切除 术后感染 预防 

分 类 号：R619.3[医药卫生—外科学]