摘要
目的:探讨肥胖对直肠癌手术后切口感染率的影响。方法:回顾性分析1056例直肠癌手术后患者的临床病理资料。患者均行直肠癌根治术,术后均经病理证实为直肠癌。对比肥胖患者与非肥胖患者的切口感染率;Logistic回归分析影响术后切口感染的高危因素。结果:肥胖患者术后切口感染率明显升高(24.6%vs10.7%;P<0.001)。肥胖(OR=1.482;95%CI,1.225-1.848)、开腹手术(OR=1.521;95%CI,1.264-1.937)是影响患者术后切口感染的独立因素。切口感染患者的术后住院时间明显延长。结论:肥胖患者术后切口易感染,应重视其术后切口的处理。
Objective：To measure the effect of obesity on Surgical site infection in patients undergoing colorectal surgery.Methods：Retrospectively analysis the data of 1056 patients undergoing rectal surgery.Pathology identified patients with rectal cancer.We compared surgical site infection rates among obsess and nonobese patients.Multivariate logistic regression was performed to identify risk factors for surgical site infection.Results：Obese patients had an increased rate of surgical site infection compared with nonobese patients（24.6% vs 10.7%;P0.001）.Independent risk factors for these infections were obesity（odds ratio=1.482;95% confidence interval,1.225-1.848） and open operation as compared with a laparoscopic procedure（odds ratio=1.521;95% confidence interval,1.264-1.937）.Conclusion：Obesity increase the risk of an surgical site infection.We should pay more attention for obese patients after surgery.
出处
《求医问药（下半月刊）》
2012年第5期304-304,306,共2页
Seek Medical and Ask The Medicine
关键词
直肠癌
肥胖
切口
感染
rectal cancer
obese
surgical site
infection
