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目的分析探讨肝癌患者肝部分切除术后感染相关并发症的发生情况及其危险因素。方法选择2014年1月-2016年6月医院收治的262例行肝部分切除术的肝癌患者的临床资料进行回顾性研究,根据患者术后感染发生情况分为感染患者73例与未感染患者189例,对比感染与未感染患者的临床基础资料、术前各项指标的检查结果和相关手术指标等情况,分析引发患者感染的相关因素。结果有73例患者发生术后感染,感染率为27.86%;单因素分析结果显示,患者年龄、白蛋白水平、术前是否合并糖尿病、手术时间、术中出血量、术中输血量、术后是否发生胆瘘、术后引流管留置时间均是患者发生感染的相关因素(P<0.05)。结论对于行肝部分切除术的肝癌患者,在临床治疗过程中有效控制患者的白蛋白水平、改善患者的糖尿病情况、缩短手术时间、减少术中出血、降低术后胆瘘发生率、缩短留置引流管的时间可以有效地改善患者的感染发生情况,预防危险因素的发生以降低感染的发生率。
Objective To analyze the incidence and risk factors of infection-related complications after partial hepatectomy in patients with liver cancer. Methods The clinical data of 262 patients with liver cancer undergoing partial hepatectomy from January 2014 to June 2016 were retrospectively studied. According to the incidence of postoperative infection, 73 patients were divided into 189 infected patients and 189 uninfected patients For example, comparing the basic clinical data of infected and uninfected patients, the preoperative indicators of the test results and related surgical indicators, etc., to analyze the relevant factors triggering the patient’s infection. Results There were 73 cases of postoperative infection infection rate of 27.86%; univariate analysis showed that the patient age, albumin level, preoperative diabetes mellitus, operation time, intraoperative blood loss, intraoperative blood transfusion, postoperative Whether the occurrence of biliary fistula, postoperative drainage tube indwelling time are related factors in patients with infection (P <0.05). Conclusions For liver cancer patients undergoing partial hepatectomy, the patients’ albumin level is effectively controlled during clinical treatment to improve their diabetes, shorten the operation time, reduce the intraoperative bleeding, reduce the incidence of postoperative biliary fistula, and shorten the indwelling drainage Tube time can effectively improve the patient’s infection, prevent the occurrence of risk factors to reduce the incidence of infection.