淮海医药
淮海醫藥
회해의약
JOURNAL OF HUAIHAI MEDICINE
2014年
5期
419-420
,共2页
妇科腹腔镜手术%抗生素,预防%手术部位感染
婦科腹腔鏡手術%抗生素,預防%手術部位感染
부과복강경수술%항생소,예방%수술부위감염
Gynecological laparoscopic surgery%Prophylactic antimicrobial%Surgical site infection
目的：观察妇科腹腔镜附件包块切除术后手术部位感染情况，探讨该类手术预防性使用抗菌药物的必要性。方法选择妇科行腹腔镜附件包块切除术、符合条件的患者94例，术前随机分为2组：A组术前不用抗菌药物；B组术前使用第二代头孢菌素1次。根据2组患者术中情况，若无异常则术后不使用抗菌药物；若存在明显盆腔炎症表现，则术后补充使用抗菌药物，用药时间最长不超过术后48 h，观察比较不同用药方案与术后感染之间关系。结果94例患者成功完成腹腔镜下手术，术后体温≥38℃者4例，A组2例；B组2例，结合血常规检查不支持感染征象。随访观察至术后1个月，2组均无手术部位感染发生。结论对于无合并症的单纯妇科腹腔镜附件包块切除术，手术部位感染发生率低，围手术期无需常规预防性使用抗菌药。
目的：觀察婦科腹腔鏡附件包塊切除術後手術部位感染情況，探討該類手術預防性使用抗菌藥物的必要性。方法選擇婦科行腹腔鏡附件包塊切除術、符閤條件的患者94例，術前隨機分為2組：A組術前不用抗菌藥物；B組術前使用第二代頭孢菌素1次。根據2組患者術中情況，若無異常則術後不使用抗菌藥物；若存在明顯盆腔炎癥錶現，則術後補充使用抗菌藥物，用藥時間最長不超過術後48 h，觀察比較不同用藥方案與術後感染之間關繫。結果94例患者成功完成腹腔鏡下手術，術後體溫≥38℃者4例，A組2例；B組2例，結閤血常規檢查不支持感染徵象。隨訪觀察至術後1箇月，2組均無手術部位感染髮生。結論對于無閤併癥的單純婦科腹腔鏡附件包塊切除術，手術部位感染髮生率低，圍手術期無需常規預防性使用抗菌藥。
목적：관찰부과복강경부건포괴절제술후수술부위감염정황，탐토해류수술예방성사용항균약물적필요성。방법선택부과행복강경부건포괴절제술、부합조건적환자94례，술전수궤분위2조：A조술전불용항균약물；B조술전사용제이대두포균소1차。근거2조환자술중정황，약무이상칙술후불사용항균약물；약존재명현분강염증표현，칙술후보충사용항균약물，용약시간최장불초과술후48 h，관찰비교불동용약방안여술후감염지간관계。결과94례환자성공완성복강경하수술，술후체온≥38℃자4례，A조2례；B조2례，결합혈상규검사불지지감염정상。수방관찰지술후1개월，2조균무수술부위감염발생。결론대우무합병증적단순부과복강경부건포괴절제술，수술부위감염발생솔저，위수술기무수상규예방성사용항균약。
Objective To observe the surgical site infection of gynecological laparoscopic adnexal surgery ,and to explore the necessity of prophylactic antibiotics use for such surgery .Methods 94 patients scheduled for gynecological laparoscopic adnexal surgery were selected and randomly divided into two groups before surgery :no preoperative prophylactic antibiotics was used in group A;and in group B ,a single dose of the second-generation cephalosporins was applied .The use of antibiotics was dependent on the condition of the two groups of patients during the operation .No postoperative antimicrobial agents were used unless obvious pelvic inflammatory disease occurred ,and the use of postoperative antimicrobial agents was limited to 48 hours after operation .The relation between different regimens and the occurrence of postoperative infection was closely observed .Re-sults All the 94 patients went through laparoscopic surgery successfully .Postoperative fever was observed in 4 cases:2 cases in group A and 2 in group B, but routine blood tests did not support infection .All the patients were followed up for a month . No surgical site infection occurred .Conclusion For simple gynecological laparoscopic adnexal surgery without complications , the incidence of surgical site infection is low ,and there is no significant difference between the perioperative prophylactic anti -biotics group and the non-drug group.
