Analysis on the risk factors of surgical site infection after microvascular decompression through retrosigmoid sinus approach

YE Yong-qing; SHI Ye; HAN Yu-han; LIU Hong-mei; GU Jia; WU Yu-xuan; YU Ru-tong

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Analysis on the risk factors of surgical site infection after microvascular decompression through retrosigmoid sinus approach

更新时间：2022-06-24

- Analysis on the risk factors of surgical site infection after microvascular decompression through retrosigmoid sinus approach
- null Issue 12, Pages: 1034(2021)
- 作者机构：
  
  1. 徐州医科大学附属医院神经外科,江苏,徐州,221000
  2. 南京医科大学附属宿迁市第一人民医院神经外科,江苏,宿迁,223800
- 作者简介：
- 基金信息：
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YE Yong-qing, SHI Ye, HAN Yu-han, et al. Analysis on the risk factors of surgical site infection after microvascular decompression through retrosigmoid sinus approach. [J]. null (12):1034(2021)
DOI：

YE Yong-qing, SHI Ye, HAN Yu-han, et al. Analysis on the risk factors of surgical site infection after microvascular decompression through retrosigmoid sinus approach. [J]. null (12):1034(2021) DOI：

摘要

目的探讨经乙状窦后入路微血管减压术后手术部位感染的情况及其危险因素。方法回顾性分析161例因面肌痉挛或三叉神经痛行经乙状窦后入路微血管减压术治疗的患者临床资料

统计手术部位感染的发生率

采用单因素分析和多因素Logistic回归模型分析手术部位感染的危险因素。结果经乙状窦后入路行微血管减压术的161例患者中

有14例（8.7%）发生手术部位感染。多因素Logistic回归分析结果显示

BMI≥24 kg/m2、切口长度≥8 cm、术前血清白蛋白＜30 g/L及放置引流装置是手术部位感染的独立危险因素（P＜0.05）。结论行经乙状窦后入路微血管减压术后

BMI≥24 kg/m2、切口长度≥8 cm、术前血清白蛋白＜30 g/L以及放置引流装置的患者更容易发生手术部位感染

通过缩小手术切口、合理放置引流装置和改善患者术前营养情况等措施可以减少手术部位感染的发生。

Abstract

关键词

乙状窦后入路微血管减压术面肌痉挛三叉神经痛手术部位感染

Keywords

retrosigmoid sinus approachmicrovascular decompressionhemifacial spasmtrigeminal neuralgiasurgical site infection

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