尾切除术后手术部位感染的风险因素在 laparoscopy 和 laparotomy 中 - 回顾性队列研究
Amer Fayraq1,2, Saif A Alzahrani3, Ahmed G Alsayaf Alghamdi4
1Preventive Medicine, King Abdullah International Medical Research Centre, Jeddah, SAU.
Cureus
|September 29, 2023
概括
与开放式腹腔切除相比,腹腔镜尾切除显著降低了手术部位感染 (SSI) 的风险. 手术前剃须也增加了SSI的发生率,建议不要常规使用.
科学领域:
- 外科手术的结果
- 传染病流行病学 传染病流行病学
背景情况:
- 尾炎是一种常见的需要手术的紧急情况.
- 手术部位感染 (SSI) 是尾切除术的常见并发症,导致不良后果.
- 减少SSI风险对于患者的康复和医疗保健效率至关重要.
研究的目的:
- 为了比较开放性腹腔切除术和腹腔镜尾切除术之间手术部位感染 (SSI) 的发生率.
- 在沙特阿拉伯Al-Baha的尾切除患者中识别SSI的风险因素.
主要方法:
- 在国王法哈德医院对256名尾切除患者进行了回顾性队列研究.
- 在开放性腹腔切除术和腹腔镜方法之间比较SSI率.
- 对SSI风险的患者人口统计,手术因素和手术前剃须的分析.
主要成果:
- 开放式腹腔切除术的SSI风险明显高 (RR=3.1,p=0.001) 比腹腔镜更高.
- 在手术前剃须与两种手术类型的SSI风险增加有关.
- 复杂的手术内发现也与较高的SSI率相关.
结论:
- 与开放性腹腔切除相比,腹腔镜尾切除与SSI的风险较低有关.
- 应该避免在手术前剃须,以尽量减少SSI的发生.
- 应该优先考虑 laparoscopic 尾切除术,复杂的病例需要警的 SSI 监测.
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