肝癌切除术后并发感染的相关危险因素分析

Analysis of related risk factors of postoperative infection complications after hepatectomy for hepatocellular carcinoma

目的分析肝癌（HCC）切除术后并发感染的相关危险因素,为临床减少HCC术后感染发生提供参考。方法对我科收治的行HCC切除术患者58例临床资料作回顾性分析,对行HCC切除术后感染组和非感染组患者临床资料进行单因素分析及多因素Logistic回归分析。结果血清白蛋白[OR（95%CI）：0.92（0.62~0.91）]、糖尿病史[2.56（1.30~4.75）]、术中输血量[3.65（1.60~5.88）]和出血量[3.37（1.70~4.29）]、导管留置时间[7.84（4.48~12.30）]为HCC切除术后并发感染的5个独立危险因素。结论 HCC切除术后并发感染的危险因素分别为血清白蛋白、糖尿病史、术中输血量和出血量、导管留置时间。对于存在以上危险因素的HCC患者,应积极处理,减少或避免感染发生。

Objective To analysis the related risk factors of postoperative infection complications after hepatectomy for hepatocellular carcinoma（ HCC）,and provide reference for reduce HCC cases of postoperative infection. Methods The clinical data of 58 HCC patients which underwent hepatectomy were retrospectively analyzed. The clinical data of infection group and non-infected group were compared by single factor analysis and multiple factors Logistic regression analysis. Results The serum albumin[OR（ 95% CI） ： 0. 92（ 0. 62 ~ 0. 91） ],history of diabetes mellitus[2. 56（ 1. 30 ~ 4. 75） ],intraoperative blood transfusion volume[3. 65（ 1. 60 ~ 5. 88） ]and the bleeding volume[3. 37（ 1. 70 ~ 4. 29） ],catheter indwelling time[7. 84（ 4. 48 ~ 12. 30） ]were the five risk factors for postoperative infection complications after hepatectomy for HCC. Conclusion The related risk factors of postoperative infection complications after hepatectomy for HCC were serum albumin,history of diabetes mellitus,intraoperative blood transfusion volume and the bleeding volume,catheter indwelling time. We should actively processing,reduce or avoid infection if HCC patients with the risk factors.