子宫肌瘤剔除术后子宫切口感染的防治研究  

Prevention and treatment of uterine incision infection after uterine myomectomy

作　　者：刘素婷[1] 张海珍[1] 孙霞[1] 韩娟[1] 高青[1] 霍伟[1] 

机构地区：[1]北京市丰台区铁营医院妇产科,北京100079

出　　处：《中华医院感染学杂志》2017年第10期2363-2366,共4页Chinese Journal of Nosocomiology

基　　金：北京市医院管理局重点医学发展计划基金资助项目(ZYLX201510)

摘　　要：目的探讨子宫肌瘤剔除术后子宫切口感染发生情况及其危险因素,并对其相应的防治措施进行研究。方法对2015年12月-2016年12月医院妇科收治的342例行子宫肌瘤剔除术患者进行研究,分析患者切口感染发生情况,并通过调查问卷的方式对患者切口感染因素进行分析。结果 342例患者中47例患者发生切口感染,感染率为13.74%;单因素分析结果显示,患者年龄≥50岁、体质量指数≥25kg/m^2、低蛋白血症、合并糖尿病、多发肌瘤、Ⅱ型肌瘤、手术时间≥35min、切口≥4cm、术前未使用抗菌药物的患者术后切口感染率显著高于其他类型患者(P<0.05);多因素logistic回归分析结果显示,患者年龄≥50岁、体质量指数≥25kg/m^2、低蛋白血症、合并糖尿病、多发肌瘤、Ⅱ型肌瘤、手术时间≥35min、切口≥4cm、术前未使用抗菌药物均是患者发生切口感染的独立危险因素(P<0.05)。结论子宫肌瘤剔除术后患者切口感染率较高,且受到多种因素的影响,临床治疗应针对其危险因素给予相应的防治,以减少感染率。OBJECTIVE To explore the prevalence of uterine incision infection after uterine myomectomy and analyze the risk factors so as to put forward the targeted prevention measures.METHODS A total of 342 patients who underwent the uterine myomectomy in department of gynecology from Dec 2015 to Dec 2016 were enrolled in the study.The prevalence of incision infection was analyzed,and the risk factors for the incision infection were explored by means of questionnaire survey.RESULTS Of the 342 patients,47 had the incision infection,with the infection rate 13.74%.The result of univariate analysis indicated that the incidence rate of postoperative incision infection was significantly higher in the patients with no less than 50 years of age,body mass index no less than 25 kg/m2,hypoproteinemia,complication with diabetes mellitus,multiple myoma,type Ⅱ myoma,operation duration no less than 35 min,length of incision no less than 4cm,or without preoperative use of antibiotics than in other types of antibiotics （P〈0.05）.The result of the multivariate logistic regression analysis showed that the independent risk factors for the incision infection included the no less than 50 years of age,body mass index no less than 25 kg/m2,hypoproteinemia,complication with diabetes mellitus,multiple myoma,type Ⅱ myoma,operation duration no less than 35 min,length of incision no less than 4cm,and without preoperative use of antibiotics （P〈0.05）.CONCLUSION The incidence rate of the incision infection is high after uterine myomectomy,which is influenced by multiple factors.It is necessary for the hospital to take targeted prevention and treatment measures according to the risk factors so as to reduce the infection rate.

关 键 词：子宫肌瘤 剔除术 切口感染 

分 类 号：R713[医药卫生—妇产科学]