腹股沟疝无张力修补术切口感染风险因素分析

Risk factor analysis of wound infection of inguinal herniatension-free hernioplasty

目的探讨分析腹股沟疝无张力修补术切口感染风险因素。方法选取2012年1月至2019年1月,淮北矿工总医院集团诊治的腹股沟疝患者1200例作为研究对象,对行腹股沟疝无张力修补术的切口感染的风险因素进行分析。结果相关分析结果显示年龄(>60岁)、合并基础性疾病及手术时间(>90 min)是腹股沟疝无张力修补术患者的切口感染的风险因素,差异有统计学意义(P<0.05);而预防性应用抗菌药物、性别及补片材料间相比,差异无统计学意义(P>0.05),随着患者年龄的增长,切口感染率及感染程度逐渐升高。结论合并基础性疾病、手术时间过长(>90 min)及年龄>60岁是腹股沟疝无张力修补术患者切口感染的风险因素。

Objective To investigate the risk factor of woundinfection of inguinal hernia tension-free hernioplasty.Methods 1200 cases of inguinal hernia were collected from January 2012 to January 2019 in HuaibeiMiner General Hospital as research object.Analyzing the risk factors of wound infection after tension-free hernioplasty.Results Correlation analysis showed that age(>60 years old),concomitant diseases and operation time(>90 minutes)were the risk factors for wound infection in patients with tension-free hernioplasty,and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in terms of prophylactic use of antibiotics,gender and patch material(P>0.05);and with the increasing of the patient’s age,the wound infection rate and infection degree gradually increased.Conclusion The risk factors of wound infection in patients with inguinal hernia tension-free repair are concomitant diseases,long operation time(>90 minutes)and age>60 years old.