肝胆外科手术切口感染的因素及治疗对策

Analysis of hepatobiliary surgery incision infection reasons and treatment countermeasures

目的:分析肝胆外科手术切口感染的因素及治疗对策。方法:选取2010年6月至2014年6月期间接受治疗的肝胆外科手术患者500例,回顾分析其中发生切口感染的65例患者的临床资料,探讨该65例患者发生手术切口感染的主要原因,并制定合适的治疗对策,以降低后期肝胆外科手术治疗患者的切口感染率。结果:本次研究引发切口感染的原因,主要包括患者年龄过高、切口深度较深、手术时间与住院时间过长及血清白蛋白水平、血红蛋白偏低、丙谷转氨酶偏高。结论:近年来临床上肝胆外科手术切口感染几率明显上升,但只要严格遵循手术操作无菌原则,加强对患者术前、术中、术后的监测,那么切口感染发生率是可以得到一定的控制的。

Objective： To analyze the hepatobiliary surgery incision infection reasons and treatment countermeasures.Methods：500 cases of patients received hepatobiliary surgery from June 2010 to June 2014 in our hospital were chosen and the clinical data of 65 cases of incision infection patients were analyzed retrospectively to discuss the main reasons of operative incision infection and to develop appropriate treatment measures so as to reduce the incision infection rate of hepatobiliary surgery .Results：The reasons caused hepatobiliary surgery incision infection included higher a-ges of the patients, the deep incision, exceedingly long operation time and hospitalization time, low level of serum albumin and hemoglobin, and high level of alanine transaminase.Conclusion：In recent years the rate of hepatobiliary surgery incision infection has increased a lot, but it can be controlled sometimes as long as the aseptic principles of operations are strictly followed and the monitoring of patients is strengthened before , during and after the operation.