[1]程 龙,靳 勇,白旭明,等. 经皮经肝胆道引流术后胆道感染的相关因素分析[J].介入放射学杂志,2012,(06):509-513.
 CHENG Long,JIN Yong,BAI Xu- ming,et al. Biliary infection occurred after percutaneous transhepatic biliary drainage: an analysis of the related factors[J].journal interventional radiology,2012,(06):509-513.
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 经皮经肝胆道引流术后胆道感染的相关因素分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年06期
页码:
509-513
栏目:
临床研究
出版日期:
2012-06-30

文章信息/Info

Title:
 Biliary infection occurred after percutaneous transhepatic biliary drainage: an analysis of the related factors
作者:
 程 龙 靳 勇 白旭明 顾星石
Author(s):
 CHENG Long JIN Yong BAI Xu- ming GU Xing- shi.
 Department of Interventional Therapy, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China
关键词:
 【关键词】 经皮经肝胆道引流术 胆道感染 梗阻性黄疸
文献标志码:
A
摘要:
 【摘要】 目的 探讨经皮经肝胆道引流(PTCD)术后胆道感染的相关因素,更好地防治术后的胆道感染。 方法 对我院78例因梗阻性黄疸接受PTCD治疗的患者资料进行回顾性分析,以术前和术后的临床和实验室指标作为观察对象,分析影响术后胆道感染的相关因素并行多元非条件Logistic回归分析。 结果 术后胆道感染25例,感染率为32.05%。χ2检验表明患者年龄、术前黄疸天数、术前有无胆道感染、术前生活质量评分(KPS)ALT、ALP、GGT、TBIL、引流方式、每日平均引流量与术后胆道感染率有关,进行非条件多元logistic分析,采取向前逐步选择自变量的方式,并选择有主要作用的影响因素,并得出方程:P = ■其中X1为每日平均引流量,X2为ALP,X3为术前黄疸天数。 结论 术后的平均引流量、ALP、术前黄疸的天数是PTCD术后胆道感染的相关因素。因此,对不能手术的梗阻性黄疸患者应及早行PTCD术,同时积极调整肝功能,术后紧密观察引流量的多少。只有这样才能更好地预防术后胆道感染。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2012-02-10)
更新日期/Last Update: