CAJ | 학술논문

目的：探讨肝部分切除患者术后感染的影响因素,为预防肝切除术后感染的发生提供理论依据。方法回顾性分析2007年12月至2012年12月210例诊断为肝癌行肝部分切除患者的临床资料,将其分为感染组和非感染组,比较2组相关临床资料,采用logistic逐步回归法进行统计学分析,筛选影响术后感染的关键性变量。结果肝部分切除术后有30例感染,感染率为14.3%。患者的年龄、手术时间、失血量、有无输血及有无肝硬化,2组比较差异均有统计学意义（P<0.05)。 logistic回归分析显示,患者的年龄、手术时间、失血量、有输血及肝硬化是肝部分切除术后感染的关键危险因素。结论年龄大于等于60岁、手术时间大于等于5 h、失血量大于等于3000 mL、有输血及合并肝硬化是肝部分切除术后感染并发症的关键危险因素。
목적：탐토간부분절제환자술후감염적영향인소,위예방간절제술후감염적발생제공이론의거。방법회고성분석2007년12월지2012년12월210례진단위간암행간부분절제환자적림상자료,장기분위감염조화비감염조,비교2조상관림상자료,채용logistic축보회귀법진행통계학분석,사선영향술후감염적관건성변량。결과간부분절제술후유30례감염,감염솔위14.3%。환자적년령、수술시간、실혈량、유무수혈급유무간경화,2조비교차이균유통계학의의（P<0.05)。 logistic회귀분석현시,환자적년령、수술시간、실혈량、유수혈급간경화시간부분절제술후감염적관건위험인소。결론년령대우등우60세、수술시간대우등우5 h、실혈량대우등우3000 mL、유수혈급합병간경화시간부분절제술후감염병발증적관건위험인소。
Objective To investigate risk factors of infections in hepatic cancer patients after partial hepatectomy so as to provide theo-retical basis for the prevation of infections after the hepatecomy. Methods A total of 210 patients who underwent partial hepatectomy from December 2007 to December 2012 were divided into the infection group and the non-infection group,and they were retrospectively reviewed. Multivariate analysis was performed with logistic regression test. Results Totally 30 patients were infected after operation,and the incidence of infection was 14. 3%. There were singinficant difference between age,operation time,blood loss,blood transfusion and cirrhosis in the two groups(P<0. 05). Multivariate logistic regression analysis showed that the age,operation time,blood loss,blood transfusion and cirrhosis were significant risk factors for the infections after partial hepatecomy. Conclusion Aged over 60 years,operation time more than 5 hours, blood loss more than 3 000 mL,blood transfusion and cirrhosis were the key risk factors for the infections after partial hepatecomy.