子宫肌瘤患者术后感染临床分析  

Clinical analysis of postoperative infections in patients with uterine fibroids

作　　者：廖丹[1] 尤共平 郑新秋 罗华琼 甘海忠[2] 

机构地区：[1]海南省农垦那大医院妇产科,海南儋州571700 [2]海南省农垦那大医院感染科,海南儋州571700

出　　处：《中华医院感染学杂志》2016年第4期908-910,共3页Chinese Journal of Nosocomiology

基　　金：海南省卫生厅科研基金资助项目(琼卫2010-39)

摘　　要：目的研究子宫肌瘤手术患者术后发生感染情况,总结对感染产生影响因素,最大限度的降低术后感染概率。方法选择2014年2月-2015年2月医院诊治的150例子宫肌瘤实施开腹手术治疗患者,综合分析患者年龄、并发症情况、病程、手术前后抗菌药物使用、切口长度、有无复发等资料,总结术后发生感染的原因及影响因素,采用SPSS15.0软件进行统计分析。结果年龄>60岁的患者术后出现感染的概率明显比<60岁的患者高,差异有统计学意义(P<0.05);病程较长的患者术后出现感染的概率明显比病程短的患者高,差异有统计学意义(P<0.05);感染组患者出现并发症的概率明显比非感染组高,差异有统计学意义(P<0.05);而且感染组患者切口长度、术后复发、术前抗菌药物使用情况均与术后感染有紧密的关系,两组差异有统计学意义(P<0.05)。结论术后切口感染的出现与患者自身身体素质、切口长度、使用抗菌药物、并发症以及手术时间等密切相关,因而,外科医师应严格掌握手术操作技巧,控制手术时间,术前预防性应用抗菌药物等,以降低感染率,同时对切口感染产生影响的各种危险因素进行严格掌握,临床意义显著。OBJECTIVE To explore the prevalence of postoperative infections in the patients with uterine fibroids and analyze the influencing factors for the infections so as to minimize the probability of the postoperative infections.METHODS A total of 150 patients with uterine fibroids who underwent the laparotomy in the hospital from Feb 2014 to Feb 2015 were enrolled in the study,then the clinical data of the enrolled patients,including the age,complications,disease courses,use of antibiotics before and after the surgery,length of incision,and incidence of recurrence,were comprehensively analyzed,the causes and influencing factors for the postoperative infections were observed,and the statistical analysis was performed with the use of SPSS15.0software.RESULTS The probability of the postoperative infections was significantly higher in the patients aged more than 60 years old than in the patients aged less than 60 years old（P0.05）.The probability of the postoperative infections was significantly higher in the patients with long disease course than in the patients with short disease course（P0.05）.The probability of complications was significantly higher in the infection group than in the non-infection group（P0.05）.The incidence of the postoperative infections was closely associated with the length of incision,postoperative recurrence,and preoperative use of antibiotics（P0.05）.CONCLUSIONThe emergence of the postoperative incision infections is closely associated with the physical quality,length of incision,use of antibiotics,complications,and operation duration,therefore,it is necessary for surgeons to strictly grasp the operation skills,control the operation duration,conduct the antibiotics prophylaxis to reduce the infection rate,and strictly master the risk factors for the incision infections,with the clinical significance remarkable.

关 键 词：子宫肌瘤 开腹手术 术后感染 临床分析 

分 类 号：R737.33[医药卫生—肿瘤]