【摘要】 目的针对肝胆手术后手术部位感染相关因素进行研究,为控制感染提供依据。方法提取2008年5月-2011年3月肝胆手术患者临床资料,对手术部位感染的相关情况进行回顾性分析;对术前情况、手术方式、手术时间、术中出血量、术后并发症进行单因素分析,并利用logistic进行多因素回归分析。结果肝胆手术患者共312例,手术部位感染37例,感染率11.86%;其中住院期间发生感染25例,占67.57%;出院后发生感染12例,占32.43%;发生部位浅部切口24例,深部切口9例,脏器腔隙4例;logistic回归分析表明,术后出现切口感染、手术时间、及术后引流管留置时间是主要影响因素。结论肝胆手术部位感染存在多种因素,采取综合性防治措施,是预防和降低发生手术部位感染的主要措施。更多还原

【Abstract】 OBJECTIVE To study the related factors of surgical site infection after hepatobiliary surgery,to provide basis for the infection control. METHODS The clinical data of patients received hepatobiliary surgery from May 2008 to Mar 2011 were collected,Vital part of the infection of the relevant information was retrospectively analyzed.The preoperative situation,operation mode,operation time,the amount of bleeding,and postoperative complications were performed the univariate analysis.And use of the logistic regression analysis was also employed. RESULTS Of 312 cases of patients received hepatobiliary surgery,37 cases occured surgical sites infection with the infection rate of 11.86%,among which 25 cases occurred during the hospital stay,accounting for 67.57%,12 cases occurred after discharge from the hospital,accounting for 32.43%,24 cases were shallow incision,9 cases were deep,4 cases were organ compartment;the logistic regression analysis indicated that the postoperative complications,operation duration and postoperative drainage were the independent trigger factors. CONCLUSION There are many factors for surgical sites infection during hepatobiliary surgery,and the comprehensive prevention measure is important for preventing and reducing the surgical site infection.更多还原