妇科肿瘤术后盆腔感染的危险因素分析及策略

Risk factors analysis and strategy of pelvic infection after gynecological tumor surgery

目的回顾性分析妇科肿瘤术后盆腔感染的危险因素,为有效控制和减少妇科肿瘤盆腔感染提供依据。方法选择本院2010年6月至2012年6月收治的300例妇科肿瘤手术患者,对患者的年龄、手术时间、住院时间、是否合并糖尿病和高血压、术后是否留置导管以及是否使用抗菌药物等相关因素进行分析。结果 300例患者中获得盆腔感染的患者为59例,感染率为19.7%,均落入logistic回归方程。结论手术时间长、住院时间长、合并糖尿病或者高血压、术后留置导管以及使用抗菌药物等均为妇科肿瘤术后盆腔感染的独立危险因素。

Objective Risk factors for postoperative pelvic infection in gynecologic oncology was retrospective analyzed, in order to provide the basis for effective control and reduce the gynecological hospital infection. Methods 300 patients with gynecologic cancer surgery received in our hospital from June 2010 to June 2012 were studied, we analyzed the patient's age, duration of surgery, hospital stay time, whether with diabetes and hypertension, postoperative catheter and whether using antimicrobial drugs and other related factors. Results 59 patients got pelvic infection in 300 patients with the infection rate was 19.7%, and they were all falling into the logistic regression equation. Conclusion Longer operative time, longer hospital stay time, combined with diabetes or hypertension, with postoperative indwelling catheter, and the using antimicrobial drugs were independent risk factors of postoperative pelvic infection for the patients with gynecologic oncology.