宫颈癌腹腔镜手术治疗的有效性及术后患者手术部位感染的影响因素  

Effectiveness of Laparoscopic Surgery for Cervical Cancer and Influencing Factors of Postoperative Surgical Site Infection

作　　者：寇翠香 汤丽丽[1] 张侠[1] KOU Cuixiang;TANG Lili;ZHANG Xia(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000)

机构地区：[1]郑州大学第二附属医院,450000

出　　处：《实用癌症杂志》2022年第1期123-125,共3页The Practical Journal of Cancer

摘　　要：目的分析宫颈癌腹腔镜手术治疗的有效性及术后患者手术部位感染的影响因素。方法选取宫颈癌患者81例,均行腹腔镜手术治疗,统计临床效果、手术部位感染发生率,收集患者年龄、体质量指数(BMI)、是否绝经、宫颈癌分期、是否多发肿瘤、手术时间等资料信息,分析术后手术部位感染的影响因素。结果腹腔镜手术治疗总有效率为90.12%(73/81),手术部位感染发生率14.81%(12/81)。BMI、是否多发肿瘤、手术时间、引流管留置时间、是否化疗、血清白蛋白水平、是否预防性使用抗生素是术后手术部位感染的影响因素(P<0.05);Logistic回归分析显示,BMI≥25 kg/m^(2)、多发肿瘤、手术时间≥3 h、引流管留置时间≥7 d、化疗、血清白蛋白<30 g/L为术后手术部位感染的危险因素,预防性使用抗生素为术后手术部位感染的保护因素(P<0.05)。结论腹腔镜手术治疗宫颈癌患者效果确切,但术后手术部位感染发生率高,临床应根据上述相关影响因素制定干预措施,降低术后手术部位感染风险。Objective To analyze the effectiveness of laparoscopic surgery for cervical cancer and the influencing factors of postoperative surgical site infection.Methods 81 patients with cervical cancer were selected and treated by laparoscopic surgery.The clinical effect and the incidence of surgical site infection were analyzed.The age,body mass index(BMI),menopause,cervical cancer stage,multiple tumors and operation time were collected to analyze the influencing factors of postoperative surgical site infection.Results The total effective rate of laparoscopic surgery was 90.12%(73/81),and the incidence of surgical site infection was 14.81%(12/81).BMI,multiple tumor,operation time,drainage tube indwelling time,chemotherapy,serum albumin level,prophylactic use of antibiotics were the influencing factors of postoperative surgical site infection(P<0.05);logistic regression analysis showed that BMI≥25 kg/m^(2),multiple tumor,operation time≥3 h,drainage tube indwelling time≥7 d,chemotherapy,serum albumin<30 g/L were the influencing factors of postoperative hand infection Prophylactic use of antibiotics was the protective factor for postoperative surgical site infection(P<0.05).Conclusion Laparoscopic surgery is effective in the treatment of cervical cancer patients,but the incidence of postoperative surgical site infection is high.Clinical intervention measures should be made according to the above related factors to reduce the risk of postoperative surgical site infection.

关 键 词：宫颈癌 腹腔镜手术 手术部位感染 影响因素 

分 类 号：R737.33[医药卫生—肿瘤]