Analysis of the occurrence and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries

TANG Dan-li; ZHANG Wei-na; NIU Yan-yan; SHI Ai-xiu; HAN Fei

doi:10.11659/jjssx.07E024145

您当前的位置：

首页 >

文章列表页 >

Analysis of the occurrence and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries

Clinical Research | 更新时间：2025-05-26

- Analysis of the occurrence and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 5, Pages: 444-446(2025)
- 作者机构：
  
  江苏省人民医院宿迁医院皮肤性病科，江苏宿迁 223800
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.07E024145
  CLC： R751
- Received：27 July 2024，
  
  Published：25 May 2025
- 稿件说明：
移动端阅览
唐丹荔,张伟娜,牛妍艳等.皮肤性病科手术使用外科手套微穿孔的发生情况及危险因素分析[J].局解手术学杂志,2025,34(05):444-446.

TANG Dan-li,ZHANG Wei-na,NIU Yan-yan,et al.Analysis of the occurrence and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(05):444-446.
唐丹荔,张伟娜,牛妍艳等.皮肤性病科手术使用外科手套微穿孔的发生情况及危险因素分析[J].局解手术学杂志,2025,34(05):444-446. DOI： 10.11659/jjssx.07E024145.

TANG Dan-li,ZHANG Wei-na,NIU Yan-yan,et al.Analysis of the occurrence and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(05):444-446. DOI： 10.11659/jjssx.07E024145.

摘要

目的

明确皮肤性病科手术使用外科手套微穿孔的发生情况、位置分布状况和危险因素。

方法

选择2022年5月至2024年4月于江苏省人民医院宿迁医院皮肤性病科手术过程中由右优势手医护人员佩戴的灭菌外科手套898只为研究对象。统计术后所有灭菌外科手套的微穿孔发生情况和位置分布情况，对可能导致微穿孔发生的因素进行单因素分析和二元

Logistic

回归分析。

结果

本研究选取的898只手套中有61只（6.79%）发生了微穿孔；左手佩戴的手套微穿孔发生率显著高于右手（

0.05）；微穿孔好发于手套的示指和拇指掌面。单因素和二元

Logistic

回归分析结果显示，使用特殊仪器、手术时间≥60 min、嵌甲手术和手术主刀佩戴为导致灭菌外科手套发生微穿孔的危险因素（

1，

0.05），而佩戴双层手套为避免发生微穿孔的保护因素（

1，

0.05）。

结论

皮肤性病科手术使用外科手套的微穿孔好发于左手示指和拇指掌面，术中使用特殊仪器、手术时间≥60 min、嵌甲手术和手术主刀佩戴的灭菌外科手套更容易发生微穿孔，而佩戴双层手套可以降低微穿孔的发生率。

Abstract

Objective

To clarify the occurrence， location distribution， and risk factors of microperforations in surgical gloves used in dermatovenereology surgeries.

Methods

A total of 898 sterilized surgical gloves worn by right-handed medical staff during dermatovenereology surgeries in Suqian Hospital of Jiangsu Province Hospital from May 2022 to April 2024 were selected as the research objects. The occurrence and location distribution of microperforations in all sterilized surgical gloves after surgery were collected. Univariate

analysis and binary

Logistic

regression analysis were conducted on the factors that might lead to the occurrence of microperforations.

Results

Among the 898 gloves selected in this study， 61 gloves （6.79%） had microperforations； the incidence of microperforations in the gloves worn on the left hand was significantly higher than that in the gloves worn on the right hand （

0.05）； microperforations were prone to occur on the palmar surfaces of the index finger and thumb of the gloves. The results of univariate and binary

Logistic

regression analyses showed that the use of special instruments， surgery duration≥ 60 minutes，ingrown nails surgery，and worn by the chief surgeon were the risk factors for the occurrence of microperforations in sterilized surgical gloves （

1，

0.05）， while wearing double-layer gloves was the protective factor to avoid the occurrence of microperforations （

1，

0.05）.

Conclusion

The sterilized surgical gloves are more likely to occur microperforations if involved special instruments in surgery， surgery duration≥ 60 minutes， and ingrown nails surgery， and worn by the chief surgeon， while wearing double-layer gloves can reduce the incidence of microperforations.

关键词

Keywords

references

言子琪 . 手术联合光动力 vs 单纯手术治疗特殊类型基底细胞癌疗效研究［D］. 大连：大连医科大学， 2023 . doi： 10.26994/d.cnki.gdlyu. 2023.000571 http://dx.doi.org/10.26994/d.cnki.gdlyu.2023.000571 .

尹嘉文，陈惠勇，杨文林，等 . 局部皮瓣教具在皮肤科手术培训中的应用［J］. 临床皮肤科杂志， 2023 ， 52 （ 6 ）： 363 - 366 . doi： 10.16761/j.cnki.1000-4963.2023.06.015 http://dx.doi.org/10.16761/j.cnki.1000-4963.2023.06.015 .

卢家兴，王生，康康，等 . 125例不同部位色素痣样皮损临床病理特征及误诊原因分析［J］. 皮肤病与性病， 2021 ， 43 （ 2 ）： 262 - 263 . doi： 10.3969/j.issn.1002-1310.2021.02.051 http://dx.doi.org/10.3969/j.issn.1002-1310.2021.02.051 .

向文迪，贺吉群，向选东 . 外科手套穿孔相关危险因素及防控措施研究进展［J］. 中国感染控制杂志， 2020 ， 19 （ 1 ）： 87 - 92 . doi： 10.12138/j.issn.1671-9638.20205521 http://dx.doi.org/10.12138/j.issn.1671-9638.20205521 .

杜海荣，张玉舰，刘瑶，等 . 股骨近端闭合防旋髓内钉固定术中使用无菌手套的细菌污染及穿孔情况研究［J］ . 局解手术学杂志， 2023 ， 32 （ 1 ）： 83 - 85 . doi： 10.11659/jjssx.06E022023 http://dx.doi.org/10.11659/jjssx.06E022023 .

姚辉，吴亚亭 . 无锡地区中老年人群慢性阻塞性肺疾病流行现状及影响因素分析［J］. 华南预防医学， 2022 ， 48 （ 7 ）： 903 - 906 . doi： 10.12183/j.scjpm.2022.0903 http://dx.doi.org/10.12183/j.scjpm.2022.0903 .

蒋莉莉，陈鹏，徐新阳，等 . 141例龈下刮治术中手套穿孔情况及其影响因素［J］. 山东大学学报（医学版）， 2023 ， 61 （ 10 ）： 83 - 87 . doi： 10.6040/j.issn.1671-7554.0.2023.0278 http://dx.doi.org/10.6040/j.issn.1671-7554.0.2023.0278 .

Kang MS ， Lee YR ， Hwang JH ， et al . A cross-sectional study of surgical glove perforation during the posterior lumbar interbody spinal fusion surgery：its frequency，location，and risk factors ［J］. Medicine （Baltimore）， 2018 ， 97 （ 22 ）： e10895 . doi： 10.1097/MD.0000000000010895 http://dx.doi.org/10.1097/MD.0000000000010895 .

Tlili MA ， Belgacem A ， Sridi H ， et al . Evaluation of surgical glove integrity and factors associated with glove defect ［J］. Am J Infect Control ， 2018 ， 42 （ 10 ）： 1093 - 1096 . doi： 10.1016/j.ajic.2018.07.016 http://dx.doi.org/10.1016/j.ajic.2018.07.016 .

张新莲，吕霞，贾婷婷，等 . 50例正颌外科手术中手套穿孔情况分析［J］ . 山东大学学报（医学版）， 2020 ， 58 （ 6 ）： 83 - 86 . doi： 10.6040/j.issn.1671-7554.0.2019.1163 http://dx.doi.org/10.6040/j.issn.1671-7554.0.2019.1163 .

李雪，于秀荣，索继江，等 . 医用无菌手套术中破损危险因素分析［J］. 中华医院感染学杂志， 2020 ， 30 （ 17 ）： 2701 - 2705 . doi： 10.11816/cn.ni.2020-193204 http://dx.doi.org/10.11816/cn.ni.2020-193204 .

Sayin S ， Yilmaz E ， Baydur H . Rate of glove perforation in open abdominal surgery and the associated risk factors ［J］. Surg Infect（Larchmt）， 2019 ， 20 （ 4 ）： 286 - 291 . doi： 10.1089/sur.2018.229 http://dx.doi.org/10.1089/sur.2018.229 .

张玲燕，李海英，朱雪琴 . 骨科手术中无菌手套微小穿孔与细菌污染情况分析［J］. 医院管理论坛， 2022 ， 39 （ 3 ）： 72 - 74 . doi： 10.3969/j.issn.1671-9069.2022.03.019 http://dx.doi.org/10.3969/j.issn.1671-9069.2022.03.019 .

刘丽，杨倩，李丽 . 急诊腹腔镜下胃肠手术使用的无菌手套细菌污染与穿孔情况研究［J］. 局解手术学杂志， 2022 ， 31 （ 9 ）： 822 - 825 . doi： 10.11659/jjssx.03E022028 http://dx.doi.org/10.11659/jjssx.03E022028 .

徐英，章志伟 . 脊柱后路内固定手术中外科手套不同时段细菌污染调查［J］. 中国医药指南， 2023 ， 21 （ 13 ）： 9 - 12 . doi： 10.13726/j.issn.1671-8194.2023.05.011 http://dx.doi.org/10.13726/j.issn.1671-8194.2023.05.011 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical study on neglected perforation of glove during spinal surgery

Analysis of influencing factors of diabetes insipidus after pituitary tumor surgery

Occurrence of neglected perforation of sterile surgical gloves and its effect on bacterial contamination during craniocerebral surgery

Analysis of risk factors for bile leakage after laparoscopic common bile duct exploration with primary closure

Risk factors for surgical site infection after transforaminal lumbar interbody fusion in treatment of lumbar degenerative diseases

Related Author

SHAO Xiao-fang

WANG Bo

TAN Shan-shan

HE Wen-wen

TIAN Yu-feng

HE Mao-lin

ZHOU Chang-long

NIU Ning

Related Institution

Department of Anesthesia and Perioperative Medicine，Suqian Hospital of Jiangsu Province Hospital

Department of Neurosurgery，Affiliated Yongchuan Hospital of Chongqing Medical University

Department of Anesthesiology and Perioperative Medicine，Suqian Hospital of Jiangsu Provincial People's Hospital

Second Department of Hepato-Biliary-Pancreatic Surgery， Tianjin Hospital of Integrated Traditional Chinese and Western Medicine

Department of General Surgery， Tianjin Haihe Hospital

⁰