摘要
目的探讨隆乳术后假体周围感染的危险因素,为降低术后感染风险提供依据。方法回顾分析2010年1月-2018年1月行假体隆乳术的1 056例女性患者临床资料。患者年龄20~44岁,平均31.6岁。体质量指数(body mass index,BMI)19.0~31.1 kg/m^2,平均24.47 kg/m^2。参照美国疾病预防控制中心(CDC)的术后假体周围感染标准诊断,将患者分为感染组和未感染组,对年龄、BMI、合并糖尿病、免疫抑制史、吸烟史、乳腺手术史、乳腺炎病史、术前合并活动性皮炎、手术入路、假体类型、假体形状、假体植入层次、是否联合乳房悬吊、手术时间、术后应用抗生素时间、术后是否接受潜在感染手术、术后是否发生乳房碰撞进行单因素分析,初步筛选术后假体周围感染的影响因素;进一步采用logistic回归进行多因素分析,筛选危险因素。结果术后60例发生假体周围感染,感染率为5.68%。其中急性感染11例,亚急性感染33例,迟发性感染16例;细菌培养结果阳性20例。术后发生乳房碰撞114例。单因素分析显示,合并糖尿病、免疫抑制史、吸烟史、乳腺炎病史、术后发生乳房碰撞、术后接受潜在感染手术、联合乳房悬吊是术后假体周围感染的影响因素(P<0.05)。多因素分析显示,合并糖尿病、吸烟史以及术后发生乳房碰撞是术后假体周围感染的危险因素(P<0.05)。结论糖尿病、吸烟及术后发生乳房碰撞是假体隆乳术后发生假体周围感染的危险因素。
Objective To explore the risk factors related to periprosthetic infection after breast augmentation,and to provide a basis for reducing the risk of postoperative infection. Methods A total of 1 056 female patients who underwent breast augmentation between January 2010 and January 2018 were analyzed retrospectively. The patients were 20 to 44 years old(mean, 31.6 years). The body mass index(BMI) was 19.0-31.1 kg/m^2, with an average of 24.47 kg/m^2.According to the periprosthetic infection standard of the United States Centers for Disease Control and Prevention(CDC), the patients were divided into infection group and non-infection group. Age, BMI, diabetes, previous history of immunosuppression, history of smoking, previous history of breast surgery, previous history of mastitis, combined with active dermatitis, surgical approach, the type and shape of breast prosthesis, implant in the different layers, combined with mastopexy, operation time, postoperative antibiotic time, postoperative breast crash, and postoperative potential infection surgery were analyzed by univariate analysis. The influencing factors of prosthetic infection were screened by logistic regression. Results Periprosthetic infection occurred in 60 cases after operation, and the infection rate was 5.68%.Among them, 11 cases were acute infection, 33 cases were subacute infection, 16 cases were delayed infection, and 20 cases were positive in bacterial culture. Postoperative breast crash occurred in 114 cases. Univariate analysis showed that diabetes, previous history of immunosuppression, history of smoking, previous history of mastitis, postoperative breast crash, postoperative potential infection surgery, and combined with breast suspension were the influencing factors of postoperative periprosthetic infection(P<0.05). Multivariate analysis showed that diabetes, history of smoking, and postoperative breast crash were the risk factors of periprosthetic infection(P<0.05). Conclusion Diabetes, smoking, and postoperative breast crash are the risk fac
作者
李敏
唐胜建
LI Min;TANG Shengjian(Plastic Surgery Hospital of Weifang Medical College,Weifang Shandong,261041,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2019年第7期889-893,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(81471880)~~
关键词
隆乳术
假体周围感染
并发症
危险因素
Breast augmentation
periprosthetic infection
complication
risk factor
