腹腔镜全子宫切除术后盆腔感染1例报道及文献复习  

Pelvic infection after laparoscopic total hysterectomy:a case report and literature review

作　　者：高燕[1] GAO Yan(Department of Pharmacy,Tengzhou Traditional Chinese Medicine Hospital,Shandong Province,Tengzhou 277599,China)

机构地区：[1]山东省滕州市中医医院药学部,山东滕州277599

出　　处：《妇儿健康导刊》2024年第2期35-37,41,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：腹腔镜全子宫切除术后盆腔感染是手术主要并发症之一,发生率为10.68%,最常见的致病菌为革兰氏阴性菌,以大肠埃希菌为主。临床应全面评估患者围手术期情况,并充分考虑危险因素对术后感染的影响,合理预防性应用抗菌药物。对术后盆腔感染患者,应结合病情变化、细菌培养及药敏试验结果,及时调整治疗方案。本文报道1例腹腔镜全子宫切除术后因铜绿假单胞菌、少动鞘氨醇单胞菌致盆腔感染患者的诊治过程,并进行文献复习。Pelvic infection after laparoscopic total hysterectomy is one of the main complications,with an incidence of 10.68%.The most common pathogenic bacteria are gram negative bacterium,mainly Escherichia coli.The perioperative conditions of patients should be comprehensively evaluated,the impact of risk factors on postoperative infection should be fully considered,and antibiotics should be used rationally.For patients with postoperative pelvic infection,the treatment plan should be adjusted in time according to the changes of the condition,the results of bacterial culture and drug sensitivity test.This article reports the diagnosis and treatment of a patient with pelvic infection caused by Pseudomonas aeruginosa and Sphingomonas paucimobilis after laparoscopic total hysterectomy,and reviews the literat ure.

关 键 词：腹腔镜全子宫切除术 盆腔感染 铜绿假单胞菌 少动鞘氨醇单胞菌 

分 类 号：R711[医药卫生—妇产科学]