胸腹腔镜联合食管癌根治术患者感染预防与控制研究  

Prevention and control of infections in patients undergoing laparothoracoscopy combined with radical resection of esophageal carcinoma

作　　者：文玉琴[1] 何丽[1] 李丽霞[1] 

机构地区：[1]解放军总医院麻醉手术中心,北京100853

出　　处：《中华医院感染学杂志》2016年第1期98-99,105,共3页Chinese Journal of Nosocomiology

基　　金：吴阶平医学基金会临床科研专项基金资助项目(320.6750.1089)

摘　　要：目的探讨胸腹腔镜联合食管癌根治术感染因素及预防措施,为临床预防该类手术感染的发生、提高患者治疗效果提供依据。方法回顾性分析2014-2015年45例胸腹腔镜联合食管癌根治术患者的临床资料,分析潜在的感染因素,提出切实可行的预防措施。结果 45例手术时间(300.2±29.3)min,均获成功;术后1例切口发红,2例发生肺部感染,经抗感染治疗后均治愈。结论胸腹腔镜联合食管癌根治术围术期管理、严格无菌操作、强化各项流程、加强人员培训、建立资质准入制度、较强的手术人员感染意识,是预防及控制胸腹腔镜联合食管癌根治术感染发生、降低感染率的有效保障。OBJECTIVE To explore the related factors for infections in the patients undergoing laparothoracoscopy combined with radical resection of esophageal carcinoma so as to provide guidance for clinical prevention of the surgical infections and improvement of therapeutic effect.METHODS The clinical data of 45 patients who underwent the laparothoracoscopy combined with radical resection of esophageal carcinoma from 2014 to 2015were retrospectively analyzed,then the potential factors for the infections were analyzed,and the feasible prevention measures were put forward.RESULTS The operation duration of the 45 patients was（300.2±29.3）min,all succeeded.1case had postoperative wound redness,2cases had pulmonary infections,and all the cases were cured after the treatment of infections.CONCLUSIONIt is an effective way to strengthen the perioperative management of laparothoracoscopy combined with radical resection of esophageal carcinoma,strictly carry out the aseptic operations,intensify the procedures,strengthen the personnel training,establish the qualification admittance system,and enhance the awareness of infection control of the operation staff so as to prevent the infections.

关 键 词：胸腹腔镜 食管癌 根治术 感染因素 

分 类 号：R181.32[医药卫生—流行病学]