腹部手术部位感染因素及预防措施研究进展

Research on Factors and Preventive Measures of Abdominal Surgical Site Infection

手术部位感染(Surgical site infection, SSI)是一种严重的手术并发症,约2%的手术会发生,总体占医学相关感染的20%。腹部脏器是较为庞大的一部分,近年来,随着医学诊疗技术的提高,腹部疾病诊断精准率不断地增加,手术也逐渐增多,SSI成为最常见的并发症。但是对其确切的因素至今未有明确的结论,大体而言多种不同的因素包括患者个人因素及手术操作等均会导致SSI的发生。现为降低腹部SSI,临床医生应该个体化多因素考虑及多学科会诊做好术前评估,规范操作,严格按照指南进行诊治,掌握防控措施,能有效减少SSI的发生,有利于患者预后。本文将腹部SSI相关因素及预防措施做一综述。

Surgical site infection (SSI) is a serious surgical complication, occurring in approximately 2% of surgeries and accounting for approximately 20% of medically related infections. Abdominal organs are a relatively large part. In recent years, with the improvement of medical diagnosis and treat-ment technology, the accuracy of diagnosis of abdominal diseases has continued to increase, and the number of operations has gradually increased. SSI has become the most common complication. However, there is no clear conclusion about its exact factors. Generally speaking, both patient’s personal factors and surgical operations can lead to the occurrence of SSI. In order to reduce ab-dominal SSI, clinicians should consider multiple factors individually and conduct multidisciplinary consultation to complete preoperative evaluation and treatment in strict accordance with guide-lines, and master prevention and control measures, which can effectively reduce the occurrence of SSI and benefit the prognosis of patients. This article reviews the related factors and preventive measures of abdominal SSI.