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目的探讨分析腹腔镜结直肠癌术后切口感染的相关影响因素,总结预防措施。方法回顾性分析医院实行结直肠癌手术的180例患者的临床资料,并将其按照有无切口感染分为感染组30例和健康组150例,然后对其可能的感染因素进行单因素和多因素的统计学分析,总结临床预防措施。结果感染组30例(16.67%),其中直肠癌术后14例(23.33%),部分切除患者17例(21.25%),年龄>65岁者13例(15.12%)。感染组在伴有并发症、高血压、手术切除、就医顺从率等方面与对照组比较,差异有统计学意义(P<0.05)。结论结直肠癌患者在手术后有极高的感染率,不仅延长了患者的就诊时间,同时也增加了家属的经济压力,故熟悉并掌握腹腔镜结直肠癌术后切口感染的影响因素,并提前进行预防,对控制术后感染有至关重要的作用。
Objective To analyze the influencing factors of incision infection after laparoscopic colorectal cancer surgery and summarize the preventive measures. Methods The clinical data of 180 patients with colorectal cancer underwent surgery were retrospectively analyzed. The patients were divided into infection group (n = 30) and healthy group (n = 150) according to the presence or absence of incision infection. Then the possible infection factors were evaluated by single factor and multi Statistical analysis of factors, summarizing clinical preventive measures. Results Thirty cases (16.67%) were infected, including 14 cases (23.33%) after resection of rectal cancer, 17 cases (21.25%) under partial resection and 13 (15.12%) over 65 years old. Compared with the control group, the infection group had significant difference (P <0.05) in complication, hypertension, surgical resection and compliance rate. Conclusions Colorectal cancer patients have a very high infection rate after operation, which not only prolongs the patient’s visit time but also increases the financial pressure of family members. Therefore, it is familiar with and has a clear understanding of the influencing factors of incision infection after laparoscopic colorectal cancer surgery Prevention in advance is crucial to controlling postoperative infection.