妇科腹腔镜手术切口感染的危险因素分析及临床治疗

目的探讨妇科腹腔镜手术切口感染的危险因素,并行病原菌和药物敏感性分析。方法回顾性分析行腹腔镜手术的妇科患者切口感染和未感染者的临床资料及感染患者的病原菌和耐药性。结果两组患者在年龄、BMI指数、是否合并糖尿病、是否合并低蛋白血症、血红蛋白水平以及手术时间方面存在明显差异(P<0.05)。部分患者存在多重感染,病原菌以革兰阴性菌居多。各病原菌普遍对氨苄西林和复方新诺明敏感性较低,革兰阴性菌普遍对亚胺培南敏感性较高。结论妇科腹腔镜手术后密切观察切口状况,定时换药,如有感染迹象,应及时明确诊断,并给予针对性用药。

Risk factor analysis and clinical treatment of incision infection for gynecological laparoscopic surgery

Objective To observe the risk factors of incision infection for gynecological laparoscopic surgery, and analyze the sensitivity of pathogenic bacteria and medicine. Methods The clinical data of patients with and without inci- sion infection for gynecological laparoscopic surgery, and the pathogenic bacteria and drug resistance were analyzed retrospectively. Results There was no evident difference for age, BMI index, if there were gestational diabetes mellitus and hypoproteinemia, hemoglobin level and operation time between two groups （P〈0.05）. Gram-negative bacteria was the major multiple pathogenic bacteria infection for some patients. The pathogenic bacterium had low sensitivity to ampicillin and sulfamethoxazole. Gram-negative bacteria had high sensitivity to imipenem. Conclusion After gynecological laparoscopic surgery, the incision needs to be observed closely, the medication should be changed timely. If there are signs of infection, it should be diagnosed timely, and the patients should be given specific medication.