摘要
目的分析肝癌患者行肝部分切除术后发生感染的临床特点,为临床治疗提供参考依据。方法选取2011年3月-2015年3月在肝胆外科治疗的200例肝癌患者行肝部分切除术后进行研究,对可能造成患者术后感染及临床特点进行分析,数据采用SPSS 14.0软件进行统计分析。结果肝癌患者术后感染26例,感染率为13.00%;经多因素logistic回归分析显示,糖尿病史、血清白蛋白、术中出血量、术中输血量、手术时间、引流管放置时间是肝癌切除术后发生感染的独立危险因素(P<0.05)。结论肝癌患者行肝部分切除术后发生感染的影响因素多,术前应对肝功能进行调整、术中减少手术时间,手术后应对患者进行抗菌治疗,以减少患者术后感染发生率。
OBJECTIVE To analyze the clinical characteristics of postoperative infections in liver cancer patients af- ter partial hepatectomy so as to provide references for clinical treatments. METHODS Totally 200 cases of liver pa- tients who received partial hepateetomy admitted in the department of hepatobiliary surgery from Mar. 2011 to Mar. 2015 were chosen as study objects. The possible factors causing postoperative infections and the clinical fea- tures were analyzed. SPSS 14.0 was adopted to make statistical analysis. RESULTS The analysis showed that 26 liver cancer patients got infected after the surgery and the infection rate was 13.00 %. Logistic regression analysis showed that diabetes history, serum albumin levels, intraoperative blood loss, intraoperative blood transfusion, operation time and the drainage tube stays were independent risk factors for postoperative infections in patients with hepatectomy （P〈0.05）. CONCLUSION The influencing factors of postoperative infections in HCC patients with partial hepatectomy are various, and measures like preoperative adjustment of liver function, shortening of operation time and antibiotic treatment after surgeries can effectively reduce the infection rate after operations.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第23期5447-5449,共3页
Chinese Journal of Nosocomiology
基金
江苏省科技厅研究基金资助项目(201309898)
关键词
肝癌
肝部分切除术
感染
Liver cancer
Partial hepatectomy
Infection
