单孔腹腔镜下子宫肌瘤切除术后感染影响因素分析  

Analysis of influencing factors on infection in patients after single-port laparoscopic myomectomy

作　　者：查莹娟 田蓉蓉[1] ZHA Ying-juan;TIAN Rong-rong(Chinese university Hospital Affiliated to Southeast University,Nanjing,Jiangsu 210008,China)

机构地区：[1]东南大学附属中大医院妇科,江苏南京210008

出　　处：《中华医院感染学杂志》2020年第12期1885-1888,共4页Chinese Journal of Nosocomiology

基　　金：江苏省卫生厅青年基金资助项目(Q201305)。

摘　　要：目的探讨子宫肌瘤患者单孔腹腔镜术后感染的影响因素。方法选取2017年1月-2018年12月于东南大学附属中大医院接受手术治疗的120例子宫肌瘤患者为研究对象,所有患者均行单孔腹腔镜术,在患者术后均采取个体干预措施,干预时间均为2周。根据感染情况分组,对比分析手术时间、住院时间、使用抗菌药物时间、贫血、子宫肌瘤数量、子宫肌瘤直径、术前阴道检查次数、全身麻醉、吸烟史等临床资料,归纳子宫肌瘤患者单孔腹腔镜术后感染的影响因素。结果根据术后感染情况,分为感染组16例和未感染组104例,年龄、手术时间、使用抗菌药物时间、贫血、营养不良、子宫肌瘤数量、子宫肌瘤直径、术前阴道检查次数、吸烟史对子宫肌瘤患者单孔腹腔镜术后感染有一定影响,其中手术时间、使用抗菌药物时间、贫血是子宫肌瘤患者单孔腹腔镜术后感染影响因素(P<0.05)。结论应用个体干预措施对子宫肌瘤患者术后感染率显著下降,通过对手术时间、使用抗菌药物控制、贫血纠正可减少子宫肌瘤患者单孔腹腔镜术后感染率,在日后的治疗中可作为干预措施的重要方法。OBJECTIVE To investigate the influencing factors of post-operative infection in patients with single-port laparoscopic myomectomy. METHODS A total of 120 patients with hysteromyoma who underwent surgical treatment at Zhongda Hospital Affiliated to Southeast University from Jan. 2017 to Dec. 2018 were selected as the research subjects. All patients underwent single-port laparoscopic myomectomy, and individual interventions were taken after the operation. The intervention time was 2 weeks. They were grouped according to whether there was infection, and the clinical data of the infected and non-infected groups, such as operation time, length of hospital stay, time of use of antibacterial drugs, anemia, number of uterine fibroids, uterine fibroid diameter, number of preoperative vaginal examinations, general anesthesia, smoking history were analyzed, and the influencing factors of postoperative infection in patients undergoing single-hole laparoscopic surgery were summarized. RESULTS According to post-operative infection status, the patients were divided into 16 cases of infected group and 104 case of uninfected group with. Age, operation time, time of use of antibacterial drugs, anemia, malnutririon, uterine fibroid diameter, number of uterine fibroids, and number of preoperative vaginal examinations and smoking history had a certain effect on infection of uterine fibroids after single-hole laparoscopic surgery. Among them, the operation time, excessive use of antibacterial drugs and anemia were the influencing factors of infection after laparoscopic surgery in patients with uterine fibroids(P<0.05). CONCLUSION The application of individual interventions had significantly reduced the post-operative infection rate of patients with uterine fibroids, and through the effective management of operation time, proper usage of antibacterial drugs and correction of anemia, the infection rate of patients with uterine fibroids after single-hole laparoscopic surgery can be reduced, which can be used as an important method of int

关 键 词：子宫肌瘤 单孔腹腔镜术 多因素分析 术后感染 

分 类 号：R619.3[医药卫生—外科学]