腹股沟疝术后手术部位的感染因素分析

Factor Analysis of Operation Site Infection after Inguinal Hernia Operation

目的探讨引起腹股沟手术部位感染的危险因素。方法回顾性分析中山市四家二级医院普外科2007年1月至2012年12月经手术治疗的875例腹股沟疝患者的临床资料及随访结果,其中伴有绞窄坏死者予以剔除。结果术后发生伤口血肿14例(1.6%)、伤口积液23例(2.63%)、伤口感染17例(1.94%)、深部补片感染8例(0.9%)、阴囊积液12例(1.37%)。感染组糖尿病、肥胖、伤口积液的患病率高于非感染组,两组比较有显著统计学意义(P<0.01)。结论术后感染与糖尿病、肥胖、伤口积液相关,疝患者合并糖尿病、肥胖时术中避免伤口部位脂肪液化或渗出积液,积极引流伤口积液,需要认真监测血糖、有效控制血糖。

Objective To investigate the risk factors of groin operation site infection. Method Clinical data and fullow-up results in the treatment of four Zhongshan city two hospital department of general surgery in 2007 January to 2012 12 menstrual operation 875 cases of inguinal hernia patients. Result The occurrence of wound hematoma in 14 cases （1.6%）, wound effusion in 23 cases （2.63%）, 17 cases of wound infection （1.94%）, 8 cases of deep patch infection （0.9%）, 12 cases of scrotal hydrocele （1.37%）. Obesity, diabetes, infection group wound effusion prevalence rate is higher than the non-infected group, two groups was statistically significant （P〈0.01）.Conelusion With diabetes, obesity, wound effusion associated infection after operation, Hernia patient with diabetes, obesity need to drain the wound effusion, careful monitoring of blood glucose, effective control of blood glucose.