结肠癌术后并发感染的危险因素分析

Investigation and Analysis of Risk Factors for Postoperative Infection of Colon Cancer Patients

目的分析调查影响结肠癌术后并发感染的危险因素,为临床提供指导。方法抽取入住该院的47例结肠癌术后并发感染患者2012年9月—2015年12月作为本次实验的研究对象,对47例结肠癌术后并发感染患者的临床资料进行回顾性分析,观察分析影响结肠癌术后并发感染的危险因素。结果 47例结肠癌术后并发感染患者中,有9例(19.15%)患者出现吻合口狭窄,有6例(12.77%)患者出现腹腔内出血,有4例(8.51%)患者出现输尿管损伤,有8例(17.02%)患者出现横结肠盲端综合征,有6例(12.77%)患者出现吻合口瘘,有5例(10.64%)患者出现腹腔炎性感染、包块,有3例(6.38%)患者出现结肠瘘,有6例(12.77%)患者出现切口种植;而影响结肠癌术后并发感染的危险因素主要包括患者自身因素或技术操作等方面的因素。结论结肠癌术后并发感染的机率较高,为降低患者发生感染的机率,应结合相关的危险因素对其实施有效预防措施。

Objective To investigate the risk factors of postoperative infection in patients with colon cancer, and to provide guidance for the clinical study. Methods For extracting admitted to our hospital 47 cases after resection of colorectal cancer patients with infection（12 September 2012 to 2015- September） as the object of study, the clinical data of 47 cases of postoperative infection in patients with colon cancer were retrospective analysis to observe and analyze the risk factors of concurrent infection following resection of colorectal cancer. Results After resection of transverse colon in patients with postoperative results of the 47 cases of colon cancer complicated with infection, 9 cases（19.15%） patients developed anastomotic stenosis, 6 cases（12.77%） patients had intraperitoneal hemorrhage, 4 cases（8.51%） patients with ureteral injury, 8cases（17.02%） patients of cecum syndrome, 6 cases（12.77%） patients with anastomotic fistula, 5 cases（10.64%） patients with abdominal inflammatory infection, mass, 3 cases（6.38%） patients with colonic fistula, 6 cases（12.77%） patients with incisional plantation; and the impact of colon cancer complicated with infection risk factors mainly include the patient＇s own factors or technical operations and other aspects of the factors. Concurrent infection after surgery of colorectal cancer. Conclusion The probability to be higher, in order to reduce the probability of infection in patients, should be combined with the risk factors related to the implementation of effective preventive measures.