CAJ | 학술논문

目的：分析胆管结石患者开腹胆道术后手术部位感染（SSI）的危险因素。方法：回顾性分析2009年1月至2012年7月我院184例行开腹胆道手术患者的临床资料，根据是否发生SSI分为SSI组（29例）和无SSI组（155例）。对可能与SSI发现有关的17个因素进行单因素分析及Logistic回归多因素分析，从而判定影响手术部位感染发生的危险因素。结果：单因素分析结果显示，合并胆管炎、结石部位、糖尿病、黄疸持续天数、手术方式、胆汁细菌培养情况与胆道术后SSI的发生相关（字2=23.395、19.089、3.935、25.422、12.483、20.4921, P＜0.05）。多因素分析结果显示合并胆管炎、结石部位、术前黄疸天数、胆汁细菌培养情况是SSI发生的独立危险因素（Wald=7.235、7.386、1.818、13.999, P＜0.05）。结论：合并胆管炎、结石部位、术前黄疸天数、胆汁细菌培养情况是开腹胆道术后SSI发生的主要危险因素。
목적：분석담관결석환자개복담도술후수술부위감염（SSI）적위험인소。방법：회고성분석2009년1월지2012년7월아원184례행개복담도수술환자적림상자료，근거시부발생SSI분위SSI조（29례）화무SSI조（155례）。대가능여SSI발현유관적17개인소진행단인소분석급Logistic회귀다인소분석，종이판정영향수술부위감염발생적위험인소。결과：단인소분석결과현시，합병담관염、결석부위、당뇨병、황달지속천수、수술방식、담즙세균배양정황여담도술후SSI적발생상관（자2=23.395、19.089、3.935、25.422、12.483、20.4921, P＜0.05）。다인소분석결과현시합병담관염、결석부위、술전황달천수、담즙세균배양정황시SSI발생적독립위험인소（Wald=7.235、7.386、1.818、13.999, P＜0.05）。결론：합병담관염、결석부위、술전황달천수、담즙세균배양정황시개복담도술후SSI발생적주요위험인소。
Objective: To explore the risk factors of surgical site infection in patients with choledochotomy. Methods:The clinic data of 184 patients with choledochotomy from January 2009 to July 2012 were retrospectively analyzed. All patients were divided into SSI group (29 patients) and non-SSI group (155 patients). Risk factors influencing the incidence of SSI were determined by analyzing of 17 relevant factors with one-way analysis of variance (ANOVA) and Logistic multivariate regression analysis. Results: The result of univariate analysis revealed that cholangitis, location of stone, diabetes, duration of jaundice, surgical procedures and bile bacteria culture were correlated with SSI (X2=23.395, 19.089, 3.935, 25.422, 12.483, 20.4921, P<0.05). The result of multivariate analysis revealed that cholangitis, location of stone, duration of jaundice and bile bacteria culture were the independant risk factors of SSI (Wald=7.235, 7.386, 1.818, 13.999, P<0.05). Conclusion:Cholangitis, location of stone, duration of jaundice and bile bacteria culture are main risk factors of SSI in patients with choledochotomy.