喉癌术后感染的调查分析

Post-surgical Infection of Carcinoma of Larynx: An Investigative Study

目的探讨喉癌术后感染的原因、相关因素、防治措施及术后感染与局部肿瘤复发的关系. 方法对1990年1月～2002年1月我科实施的 728例喉癌手术患者的手术类型,手术时间、病灶分泌物细菌培养、局部肿瘤复发与术后感染的关系进行分析. 结果喉癌术后感染率为14.84%;术后感染的致病菌以革兰阴性杆菌占多数,术后感染与手术类型、手术时间等因素有相关性,术后感染与局部肿瘤复发无明显关系. 结论喉癌术后感染率较高,术后感染与手术类型、手术时间等因素相关;喉癌术后感染与局部肿瘤复发无明显关系.

OBJECTIVE The post-surgical infection of carcinoma of larynx was to be discussed, including etiology, involving factors, preventive measures and the relationship between post-surgical infection and local recurrence of tumor. METHODS The relationships between surgical pattern, operation duration, bacterial culture of secretories, local recurrence of tumor and post-surgical infection were analyzed respectively among 728 cases of carcinoma of larynx from Jan 1990 to Jan 2002. RESULTS The incidence of post-surgical infection of carcinoma of larynx was 14.8% and the Gram negative bacteria were the majority（59.14%）. The post-surgical infection was related to surgical pattern and operation duration, however, not significantly related to local recurrence of tumor. CONCLUSIONS The post-surgical infection of carcinoma of larynx has a high incidence. It is related to surgical pattern and operation duration, while it has no significant relationship with local recurrence of tumor.