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目的探讨后腹腔镜泌尿外科手术引发后腹膜腔感染的病因。方法回顾性分析本院2011年7月~2013年11月接诊的89例后腹腔镜泌尿外科患者临床资料,其中包括17例肾切除术患者、46例肾囊肿去顶减压术患者、26例肾上腺肿瘤切除术患者,最终引发感染患者6例(6.74%),对感染病因进行总结分析。结果 89例患者手术成功87例,失败2例;6例感染患者主要病因为术中止血不良、切除脂肪残留等,但皆给予及时有效的抗感染与充分引流后全部治愈出院。结论后腹腔镜泌尿外科手术患者引发后腹膜腔感染的病因主要有术中止血不良、切除脂肪残留等,为此必须加强这些方面的重视,尽量降低感染率。
Objective To investigate the etiology of retroperitoneal infection after laparoscopic urological surgery. Methods The clinical data of 89 patients with retroperitoneal laparoscopic urology treated in our hospital from July 2011 to November 2013 were retrospectively analyzed. Among them, 17 cases were treated with nephrectomy, 46 cases with renal cyst debridement, Cases of patients with adrenalectomy, eventually lead to infection in 6 patients (6.74%), the cause of the infection were analyzed. Results Eighty-nine patients were successfully operated in 87 cases and failed in 2 cases. The main causes of the 6 infections were intraoperative hemostasis, removal of fat residue, etc. However, timely and effective anti-infection and full drainage were all cured. Conclusions The causes of retroperitoneal infection after laparoscopic urological surgery are mainly due to poor intraoperative hemostasis and removal of fat residues. Therefore, we must pay more attention to these aspects to minimize the infection rate.