骶骨肿瘤切除术后手术切口感染的相关影响因素

Analysis of Related Influencing Factors of Surgical Incision Infection After Sacral Tumor Resection

目的 探究骶骨肿瘤切除术后手术切口感染的相关影响因素。方法 纳入行骶骨肿瘤切除术患者110例,分析骶骨肿瘤切除术后手术切口感染情况,以及术后手术切口感染的相关影响因素。结果 110例患者行骶骨肿瘤切除术,共出现切口感染22例,感染发生率为20.00%(22/110)。依据手术切口感染将患者分为感染组(22例)及非感染组(88例);感染组存在放疗史、手术时间>6 h、放置内固定、术后直肠破裂发生率均高于非感染组,差异有统计学意义(P<0.05);放疗史、手术时间、放置内固定、术后直肠破裂是影响骶骨肿瘤切除术后手术切口感染的独立危险因素(P<0.05)。结论 行骶骨肿瘤切除术时需详细了解患者既往病史及治疗史,注意控制手术时间,放置内固定时对患者情况进行严格评估,掌握适应证,围术期还应做好胃肠道准备,控制与直肠切口的距离,以降低术后切口感染发生风险。

Objective To explore the relevant influencing factors of surgical incision infection after sacral tumor resection.Methods 110 patients with sacral tumor resection were included,and the surgical incision infection and the relevant influencing factors of postoperative surgical incision resection were analyzed.Results Sacral tumor resection in 110 patients included 22 incision infections with an incidence of 20.00%(22/110).Patients were divided into infection(22)(88);radiotherapy history,surgery time> 6 h,internal fixation,postoperative rectal rupture were statistically significant(P<0.05);radiotherapy history,surgical time,internal fixation and postoperative rectal rupture were independent risk factors affecting surgical incision infection(P<0.05).Conclusion During sacral tumor resection,the patient should have a detailed medical history and treatment history,pay attention to control the operation time,strictly evaluate the patient’s condition when placing internal fixation,and master the indication.The gastrointestinal tract should also be prepared during the perioperative period to control the distance from the rectal incision,so as to reduce the risk of postoperative incision infection.