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目的分析肝癌(HCC)切除术后并发感染的相关危险因素,为临床减少HCC术后感染发生提供参考。方法对我科收治的行HCC切除术患者58例临床资料作回顾性分析,对行HCC切除术后感染组和非感染组患者临床资料进行单因素分析及多因素Logistic回归分析。结果血清白蛋白[OR(95%CI):0.92(0.62~0.91)]、糖尿病史[2.56(1.30~4.75)]、术中输血量[3.65(1.60~5.88)]和出血量[3.37(1.70~4.29)]、导管留置时间[7.84(4.48~12.30)]为HCC切除术后并发感染的5个独立危险因素。结论 HCC切除术后并发感染的危险因素分别为血清白蛋白、糖尿病史、术中输血量和出血量、导管留置时间。对于存在以上危险因素的HCC患者,应积极处理,减少或避免感染发生。
Objective To analyze the risk factors of concurrent infection after resection of hepatocellular carcinoma (HCC), and provide reference for reducing the postoperative infection of HCC clinically. Methods The clinical data of 58 cases undergoing HCC resection in our department were analyzed retrospectively. Univariate analysis and multivariate Logistic regression analysis were performed on clinical data of patients with and without infection after HCC resection. Results Serum albumin (OR 95% CI 0.92 to 0.91), history of diabetes 2.56 (1.30 to 4.75), intraoperative blood transfusion 3.65 (1.60 to 5.88) and blood loss 3.37 (1.70 ~ 4.29)]. The catheter indwelling time [7.84 (4.48-12.30)] were 5 independent risk factors for concurrent infection after HCC resection. Conclusions The risk factors of concurrent infection after HCC resection are serum albumin, history of diabetes mellitus, intraoperative blood transfusion and bleeding amount, catheter indwelling time. HCC patients with the above risk factors should actively reduce, reduce or avoid the occurrence of infection.