Related factors of incision infection after uterine myomectomy and psychological intervention

doi:10.3877/cma.j.issn.1674-1358.2017.06.019

Abstract

Abstract:

Objective

To investigate the related factors of incision infection after uterine myomectomy and the psychological intervention of the patients.

Methods

Total of 180 patients with uterine fibroids received surgical treatment in our hospital from January 2015 to October 2016 were collected. According to with or without infection in the incision after operation, the patients were divided into the uninfected group (126 cases) and the infection group (54 cases). The physical condition, gender, age, preoperative use of antibiotics, operation time, operation, surgical incision and complications of the two groups were analyzed, restropectively.

Results

The patients over 60 years old in infection group were more than that of uninfected group (χ² = 5.68, P = 0.02), the rate of patients with good physique was lower than that of uninfected group (χ² = 7.65, P = 0.01), with significant differences. While the average weight (t = 1.95, P = 0.71), hemoglobin (t = 0.18, P = 0.92) and history of pelvic surgery (χ² = 0.53, P = 0.06) of two groups were with no significant difference. The merger attachment surgery (χ² = 0.85, P = 0.04) and mild pelvic adhesion (χ² = 0.28, P = 0.03) of patients in infection group were significantly higher than those of the uninfected group, with significant difference. The fibroids ratio between the back wall muscle (χ² = 0.12, P = 0.12), the largest fibroids diameter (t = 1.36, P = 0.82), number of fibroids in surgery (t = 1.75, P = 0.69) and intraoperative blood loss (t = 1.58, P = 1.58) between the two group were with no significance difference.

Conclusions

The patient’s own physical quality, the length of incision, taking antibiotics, the length of operation time and the presence of complications such as infection were the main factors in patients with incision.

Key words: Uterine fibroids, Related factors, Incision infection, Psychological intervention

Dan Liu. Related factors of incision infection after uterine myomectomy and psychological intervention[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2017, 11(06): 613-616.

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References 20

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组别	例数	年龄（岁）		体质		平均体重（ ± s，kg）	血红蛋白（ ± s，g/L）	盆腔手术史[例（%）]
组别	例数	< 60[例（%）]	≥ 60[例（%）]	良好[例（%）]	较差[例（%）]	平均体重（ ± s，kg）	血红蛋白（ ± s，g/L）	盆腔手术史[例（%）]
未感染组	126	72（57.14）	54（42.85）	102（81.00）	24（19.00）	55.84 ± 6.08	106.94 ±12.06	19（15.12）
感染组	54	16（29.63）	38（70.37）	22（40.74）	32（59.26）	55.26 ± 5.86	105.83 ±11.97	11（20.41）
统计量		χ² = 0.17	χ² = 5.68	χ² = 7.65	χ² = 2.30	t = 1.95	t = 0.18	χ² = 0.53
P值		0.71	0.02	0.01	0.14	0.71	0.92	0.06

组别	例数	年龄（岁）		体质		平均体重（ ± s，kg）	血红蛋白（ ± s，g/L）	盆腔手术史[例（%）]
组别	例数	< 60[例（%）]	≥ 60[例（%）]	良好[例（%）]	较差[例（%）]	平均体重（ ± s，kg）	血红蛋白（ ± s，g/L）	盆腔手术史[例（%）]
未感染组	126	72（57.14）	54（42.85）	102（81.00）	24（19.00）	55.84 ± 6.08	106.94 ±12.06	19（15.12）
感染组	54	16（29.63）	38（70.37）	22（40.74）	32（59.26）	55.26 ± 5.86	105.83 ±11.97	11（20.41）
统计量		χ² = 0.17	χ² = 5.68	χ² = 7.65	χ² = 2.30	t = 1.95	t = 0.18	χ² = 0.53
P值		0.71	0.02	0.01	0.14	0.71	0.92	0.06

组别	例数	术中出血量（ ± s）	术中肌瘤数（ ± s）	最大肌瘤直径（ ± s）	后壁肌间肌瘤比率[例（%）]	轻度盆腔黏连[例（%）]	合并附件手术[例（%）]
未感染组	126	119.85 ± 34.02	1.72 ± 1.49	5.37 ± 0.28	32（25.40）	9（7.10）	10（7.93）
感染组	54	120.47 ± 33.42	1.84 ± 1.58	5.45 ± 1.35	14（25.93）	7（13.00）	6（11.11）
统计量		t = 1.58	t = 1.75	t = 1.36	χ² = 0.12	χ² = 0.28	χ² = 0.85
P值		0.75	0.69	0.82	0.76	0.03	0.04

组别	例数	术中出血量（ ± s）	术中肌瘤数（ ± s）	最大肌瘤直径（ ± s）	后壁肌间肌瘤比率[例（%）]	轻度盆腔黏连[例（%）]	合并附件手术[例（%）]
未感染组	126	119.85 ± 34.02	1.72 ± 1.49	5.37 ± 0.28	32（25.40）	9（7.10）	10（7.93）
感染组	54	120.47 ± 33.42	1.84 ± 1.58	5.45 ± 1.35	14（25.93）	7（13.00）	6（11.11）
统计量		t = 1.58	t = 1.75	t = 1.36	χ² = 0.12	χ² = 0.28	χ² = 0.85
P值		0.75	0.69	0.82	0.76	0.03	0.04

组别	例数	手术切口长度> 5 cm	手术时间> 40 min	未出现并发症	术中发生意外	术前未服用抗菌药物
未感染组	126	38（30.16）	42（33.33）	101（80.1）	38（30.16）	35（27.80）
感染组	54	38（70.37）	32（59.25）	19（35.18）	27（50.00）	25（46.29）
χ²值		8.01	15.97	14.95	3.87	5.40
P值		0.01	0.01	0.01	0.03	0.03

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