梗阻性黄疸患者经皮经肝胆道引流术后胆道感染相关因素研究
[Abstract]:Objective to study the related factors of biliary tract infection after percutaneous transhepatic biliary drainage (PTCD) in patients with obstructive jaundice. Methods 120 patients with obstructive jaundice who were treated in hospital from October 2014 to October 2016 were selected and treated with PTCD. The related factors of postoperative biliary tract infection were compared and analyzed. Results there were 22 cases of biliary tract infection after operation in 120 cases of obstructive jaundice, the infection rate was 18.33%. The basic data of 120 patients with obstructive jaundice were studied. The results showed that age, days of preoperative jaundice, preoperative (KPS), drainage, preoperative glutamic pyruvic transaminase (ALT), alkaline phosphatase (ALP),. Total bilirubin (TBIL) and other biochemical indicators were closely related to postoperative biliary tract infection, the difference was statistically significant (P0.05); The long days of preoperative jaundice and the high level of preoperative ALP were the risk factors of postoperative biliary tract infection, and the good drainage after operation was the protective factor of postoperative biliary tract infection. Sex, site of obstruction and drainage method did not affect the occurrence of postoperative biliary tract infection, and there was no significant difference between the two groups. Conclusion the related factors of postoperative biliary tract infection in patients with obstructive jaundice include age, days of preoperative jaundice, preoperative KPS score, drainage volume, preoperative ALT,ALP,TBIL, and so on. The risk factors of postoperative biliary tract infection include long days of preoperative jaundice and high level of preoperative ALP. Effective drainage can promote the smooth implementation of the operation and then reduce the incidence of postoperative biliary tract infection, and the risk factors for postoperative biliary tract infection include long days before operation and high level of postoperative biliary tract infection. It belongs to the protective factor of postoperative biliary tract infection.
【作者单位】: 宁波市第二医院肝胆胰科;
【分类号】:R575
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