腹腔镜全子宫切除术围手术期预防性抗生素应用与否的临床研究

发布时间：2018-12-06 18:41

【摘要】：目的:探讨腹腔镜全子宫切除术围手术期预防性使用抗生素的效果,探讨抗生素的合理应用。方法:选取2012年1月至2013年10月在中日友好医院妇科行择期腹腔镜全子宫切除术者61例,其中32例围手术期不用抗生素(A组),29例围手术期预防性应用抗生素(B组)。结果:患者的总住院天数、术后住院天数、术后最高体温、术后HGB、术后第一天白细胞数、术后白细胞升高比率、术后发热率及术后引流情况比较,差异均无统计学意义(P0.05)。A组术后放置腹腔引流管20例,阴道引流管9例,腹腔引流+阴道引流1例;B组腹腔引流22例,阴道引流7例。A组中术后阴道残端出现肉芽或缝线者4例,B组有4例,差异无统计学意义(P0.05)。B组患者中2例发生术后并发症,A组无一例发生术后并发症。结论:腹腔镜全子宫切除手术严格执行无菌操作,减少术中出血,严格止血,围手术期可能不需使用抗生素。
[Abstract]:Objective: to investigate the effect of prophylactic use of antibiotics in perioperative period of laparoscopic total hysterectomy. Methods: from January 2012 to October 2013, 61 patients underwent elective laparoscopic hysterectomy in China-Japan Friendship Hospital, including 32 cases without antibiotics during perioperative period (group A) and 29 cases with prophylactic use of antibiotics (group B) during perioperative period. Results: the total days of hospitalization, the maximum body temperature, the number of white blood cells on the first day after HGB, the ratio of increase of white blood cells, the rate of postoperative fever and postoperative drainage were compared. There was no significant difference between the two groups (P0.05) in). A group, there were 20 cases of abdominal drainage tube, 9 cases of vaginal drainage tube and 1 case of abdominal drainage vaginal drainage. There were 22 cases of abdominal drainage and 7 cases of vaginal drainage in group B. in group A, granulation or suture appeared at the end of vaginal stump in 4 cases, while in group B, there was no significant difference (P0.05). No postoperative complications occurred in group A. Conclusion: laparoscopic hysterectomy is strictly aseptic, reducing bleeding and hemostasis, and antibiotics may not be used in perioperative period.
【作者单位】：中日友好医院;
【分类号】：R713.42

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