在食道瘤患者的术后感染的危险因素
Mingzhu Lin1, Lu Wang2, Mengxing Liu1
1Anyang Tumor Hospital, The Affiliated Anyang Tumor Hospital of Henan University of Science and Technology, Anyang, 455000, China.
Heliyon
|October 16, 2023
概括
吸烟和更长的手术前住院增加了食道癌手术后手术后感染 (PI) 的风险. 识别这些因素可以帮助减少风险患者的PI发病率.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 传染病流行病学 传染病流行病学
背景情况:
- 手术后感染 (PI) 是食道癌手术后的一个重要并发症,可能会增加死亡率.
- 关于该患者群体中PI的整体风险因素的研究有限.
- 了解PI决定因素对于改善外科手术结果至关重要.
研究的目的:
- 在接受食道癌手术的患者中,确定与术后感染相关的术前和术后风险因素.
- 为了确定PI在食道癌症患者队列中的发病率.
主要方法:
- 从2021年1月至12月期间治疗的902名食道癌患者的手术数据的回顾性审查.
- 用单变量和多变量逻辑回归分析来评估风险因素.
- 数据来自安阳瘤医院胸腔外科.
主要成果:
- PI的总发病率为28.3% (902名患者中有255名).
- 多变量分析确定吸烟和长时间的手术前住院是PI的重要风险因素.
- 这些发现突出了特定的患者群体具有更高的PI风险.
结论:
- 吸烟和手术前延长的住院时间是食道瘤手术后PI的关键风险因素.
- 可能需要有针对性的预防策略和对高风险患者的密切监测.
- 减少PI发病率可能会提高食道癌患者的生存率.
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