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目的:探讨结直肠癌腹腔镜手术后切口感染的影响因素。方法:回顾性分析中国医科大学附属盛京医院结肠直肠肿瘤外科697例结直肠癌手术患者的临床资料,对可能影响切口感染的相关因素进行单因素与多因素分析。结果:697例手术中有43例出现切口感染43/697(6.17%),单因素分析显示,结直肠癌手术切口感染与性别、年龄、手术时间、手术方式、是否合并基础疾病有关(均P<0.05);Logistic回归显示,手术方式、年龄及手术时间为切口感染的独立影响因素(均P<0.05)。结论:手术方式、年龄及手术时间是腹腔镜结直肠癌手术术后患者切口感染的独立影响因素。如病情允许,结直肠癌腹腔镜手术应作为减少术后切口感染率的首选手术术式。
Objective: To investigate the influencing factors of incision infection after colorectal cancer laparoscopic surgery. Methods: The clinical data of 697 colorectal cancer patients with colorectal cancer surgery affiliated to Shengjing Hospital of China Medical University were retrospectively analyzed. Univariate and multivariate analyzes were performed on the related factors that may affect the incisional infection. Results: Of the 697 surgeries, 43 (69.7%) had incisional wound infection (6.17%). Univariate analysis showed that the infection of colorectal cancer was related to sex, age, operation time, operation method and the underlying diseases <0.05). Logistic regression showed that operation method, age and operation time were independent influencing factors of incision infection (all P <0.05). Conclusion: The operation method, age and operation time are the independent influential factors of incision infection in patients with laparoscopic colorectal cancer after operation. If the condition permits, laparoscopic colorectal cancer surgery should be used as the preferred surgical procedure to reduce the incidence of incisional wound infection.