摘要
目的探讨腹腔镜胃癌根治术患者术后感染的危险因素。方法回顾性分析接受腹腔镜胃癌根治术的374例胃癌患者的临床资料。采集所有患者的临床特征、手术情况和实验室检测结果,分析胃癌患者的感染情况,胃癌根治术患者术后感染的影响因素采用Logistic回归分析。结果 374例胃癌根治术患者术后共发生感染52例,其中呼吸道感染发生率最高(36.54%),其次为手术部位感染(23.08%)和泌尿道感染(13.46%)。Logistic回归分析结果显示,手术时间≥3 h、围手术期输血、术中没有保温措施及合并糖尿病是胃癌根治术患者术后发生感染的独立危险因素。结论手术时间≥3 h、围手术期输血、术中没有保温措施及合并糖尿病是胃癌根治术患者术后感染的独立危险因素。
Objective To investigate the risk factors of postoperative infection after laparoscopic radical gastrectomy.Method The study adopted a retrospective analysis including the clinical data of 374 gastric cancer patients who underwent laparoscopic radical gastrectomy.The general information,operative factors,laboratory results and occurrence of infections,as well as the factors associated with the postoperative infection in these patients were analyzed by Logistic regression analysis.Result Of the 374 patients,a total of 52 patients of postoperative infection were observed,among which the respiratory tract infection was noted(36.54%),followed by surgical site infection(23.08%)and urinary tract infection(13.46%).Logistic regression analysis showed that,operative time over 3 h,perioperative blood transfusion,absence of intraoperative maintenance of normothermia,and patients with comorbidity of diabetes were independent risk factors of postoperative infection.Conclusion Operative time over 3 h,perioperative blood transfusion,absence of intraoperative maintenance of normothermia,and comorbidity of diabetes are independent risk factors of postoperative infection in patients with laparoscopic radical gastrectomy.
作者
郭世洲
黄贵儒
陈兵
GUO Shizhou;HUANG Guiru;CHEN Bing(Department of General Surgery,Liaoyang Central Hospital,Liaoyang 111000,Liaoning,China)
出处
《癌症进展》
2019年第2期190-193,共4页
Oncology Progress
关键词
腹腔镜
胃癌根治术
感染
影险因素
laparoscopy
radical gastrectomy
infection
risk factor
