腹腔镜输卵管切除术预防性抗菌素使用探讨.docVIP

精品论文 参考文献 腹腔镜输卵管切除术预防性抗菌素使用探讨 武立菊1 邱家玲1 赵卫东2(通讯作者) (1安徽省滁州市中西医结合医院妇产科 安徽滁州 239000) (2 安徽医科大学附属省立医院妇科 安徽合肥 230001) 【摘要】目的 观察输卵管妊娠行腹腔镜输卵管切除手术后手术部位感染情况，分析围手术期预防性使用抗菌素对手术部位感染发生的影响，探讨该类手术预防性使用抗菌素的必要性。方法 选择行腹腔镜输卵管切除术、符合条件的输卵管妊娠患者62例，术前随机分为两组：A组术前不用抗菌素，B组术前预防性使用抗菌素一次。根据两组患者术中情况，若无异常则术后不使用抗菌素；若存在明显充血或慢性盆腔炎症表现，则术后补充使用抗菌素，用药时间最长不超过术后48小时，观察患者术后手术部位感染情况，比较不同用药方案与术后感染之间关系。结果 62例患者成功完成腹腔镜下手术，术后体温ge;38℃者3例，A组2例；B组1例，结合血常规检查不支持感染征象。随访观察至术后一个月，各组均无手术部位感染发生，仅B组发生1例切口缝线异物排出。结论 对于无感染高风险的输卵管妊娠患者行腹腔镜输卵管切除术时，手术部位感染发生率低，术前预防性用药组与不用药组之间并无明显差异。 【关键词】输卵管妊娠 腹腔镜手术 预防性抗菌素 手术部位感染 【中图分类号】R169 【文献标识码】A 【文章编号】2095-1752（2013）25-0147-02 The Explore of Prophylactic Antibiotics for Laparoscopic Salpingectomy WU Li-Ju1 QIU Jia-Ling1 ZHAO Wei-Dong* (1. Department of Obstetric Gynecology, Chuzhou Hospital of integrated traditional and Western Medicine, Chuzhou，239001) (2. Affiliated Provincial Hospital of Anhui Medical University，He Fei，230001) *Corresponding author:ZHAO Wei-dong, E-mail:victorzhao@163.com 【Abstract】Objective To observe the surgery site infections of Laparoscopic Salpingectomy for Salpingocyesis, analyze the relationship between perioperative prophylactic antibiotics and the occurring of surgical site infections, and to explore the necessity of prophylactic antibiotics for such surgery. Methods Selected 62 patients of Salpingocyesis, who suitable for laparoscopic Salpingectomy, The patients were randomly divided into two groups before surgery: Without preoperative prophylactic antibiotics in group A; and in group B, prophylactic antibiotics was used once before surgery. According to the status during the surgery of the two groups, Without using antimicrobial agents postoperative unless obvious hyperemiaor chronic fallopian tube inflammation were observed, and if necessary, postoperative antimicrobial agents were adopted no longer than 48 hours. Observed the occurrence of surgical site infection in each group of p