李文杰, 吕少诚, 史宪杰, 陈永亮, 蔡守旺, 陈明易, 顾万清, 梁雨荣. 胰腺癌根治术后腹腔感染的相关危险因素分析[J]. 解放军医学院学报, 2015, 36(12): 1175-1177. DOI: 10.3969/j.issn.2095-5227.2015.12.004
引用本文: 李文杰, 吕少诚, 史宪杰, 陈永亮, 蔡守旺, 陈明易, 顾万清, 梁雨荣. 胰腺癌根治术后腹腔感染的相关危险因素分析[J]. 解放军医学院学报, 2015, 36(12): 1175-1177. DOI: 10.3969/j.issn.2095-5227.2015.12.004
LI Wenjie, LYU Shaocheng, SHI Xianjie, CHEN Yongliang, CAI Shouwang, CHEN Mingyi, GU Wanqing, LIANG Yurong. Related risk factors of intra-abdominal infection in patients with pancreatic carcinoma after operation[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1175-1177. DOI: 10.3969/j.issn.2095-5227.2015.12.004
Citation: LI Wenjie, LYU Shaocheng, SHI Xianjie, CHEN Yongliang, CAI Shouwang, CHEN Mingyi, GU Wanqing, LIANG Yurong. Related risk factors of intra-abdominal infection in patients with pancreatic carcinoma after operation[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1175-1177. DOI: 10.3969/j.issn.2095-5227.2015.12.004

胰腺癌根治术后腹腔感染的相关危险因素分析

Related risk factors of intra-abdominal infection in patients with pancreatic carcinoma after operation

  • 摘要: 目的 探讨胰腺癌患者术后发生腹腔感染的相关危险因素,以期为临床防治提供思路。 方法 回顾性分析本院2010年1月- 2014年12月连续318例行根治手术治疗的胰腺癌患者的临床资料。将患者按术后是否发生腹腔感染分为感染组(19例)和对照组(299例),对两组患者的一般资料、术中情况、术后并发症等相关危险因素进行分析。 结果 所有患者均顺利完成手术,腹腔感染19例,感染率5.97%(19/318),无因腹腔感染死亡患者。多因素分析结果显示,患者术中输血及术后发生胰瘘、胆瘘是术后腹腔感染的独立危险因素(P< 0.05)。 结论 胰腺癌患者术中输血、术后发生胰瘘及胆瘘是术后腹腔感染的主要危险因素。

     

    Abstract: Objective To investigate the related risk factors for intra-abdominal infection in patients with pancreatic carcinoma after operation. Methods Clinical data about 318 pancreatic carcinoma patients underwent operation in Chinese PLA General Hospital from January 2010 to December 2014 according to the inclusion criteria were retrospectively analyzed. The patients were divided into two groups according to intra-abdominal infection after operation: infection group (n=19) and control group (n=299). The general data, operation situation and postoperative complications data were statistical analyzed. Results All patients had completed the operation successfully, and intra-abdominal infection occurred in 19 cases with incidence rate of 5.97% (19/318). Multivariate analysis of 13 clinical indexes showed that blood transfusion, pancreatic fistula, biliary fistula were independent risk factors of intra-abdominal infection (P< 0.05). Conclusion The intra-abdominal infection rate is high in pancreatic carcinoma patients after operation. The blood transfusion, pancreatic fistula and bile fistula are the main risk factors.

     

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