宫颈癌根治术后留置导尿管相关泌尿系感染分析

目的 探讨宫颈癌根治术患者留置导尿管相关泌尿系感染。方法 对86例宫颈癌根治术患者留置导尿管后泌尿系感染与其留置时间、膀胱冲洗次数、抗菌药物使用情况等关系进行分析。结果 留置导尿管<10 d,泌尿系感染率为0,膀胱功能恢复良好;留置导尿管>10 d,泌尿系感染率为10.26％,膀胱功能恢复不良占5.12％。膀胱冲洗1～3次,泌尿系感染率为12.50％;膀胱冲洗4～8次,泌尿系感染率为10.34％,无统计学差异。使用抗菌药物在7 d以内者,感染率为0,而使用抗菌药物在8～15 d者,感染率为11.11％。结论 留置导尿管时间越长,感染率越高。感染率不会因抗菌药物使用时间长而下降。

Urinary infection caused by post-operative urinary catheter reservation in cervice cancer

Objective To evaluate the urinary tract infection caused by urinary catheter reservation after the radical treatment of cervical cancer. Methods Eighty-six patients with cervice cancer received radical treatment were analysed according to the duration of catheter reservation, urinary bladder washing, recovery of bladder function and the use of antimicrobial agents. Results The infection rate was 0 and 10.26% if catheter was reserved less than 10 days and more than 10 days respectively; The infection rate was 12.50% and 10.34% if the bladder was washed 1-3 times and 4 - 8 times respectively, there was no statistical difference. The infection rate was 0 and 11.11% if the antimicrobial agents were given less than 7 days and between 8-15 days respectively. Conclusion The longer time the catheter was reserved, the higher infection rate would be. , the infection did not decreased with the long duration of antimicrobial use.