机器人外科学杂志（中英文）2025，Vol.6Issue(3)：445-449,5.DOI:10.12180/j.issn.2096-7721.2025.03.018
机器人辅助甲状腺手术院内感染危险因素及对策
Risk factors and countermeasures for nosocomial infection in robot-assisted thyroid surgery
摘要
Abstract
Objective:To analyze the risk factors for the occurrence of nosocomial infection in patients who underwent Da Vinci robot-assisted thyroid surgery,propose preventive and management measures to provide effective references for improving the efficacy of robot-assisted thyroid surgery and reducing postoperative infection rates.Methods:A retrospective analysis was conducted on the clinical data of 15 thyroid disease patients who developed nosocomial infections after Da Vinci robot-assisted surgery in the Department of Thyroid and Breast Surgery at the 960th Hospital of the PLA Joint Logistics Support Force from January 2014 to October 2022.Statistical analysis was performed on factors including age,gender,infection site,white blood cell count,surgery duration,blood glucose level,basal metabolic rate,comorbid chronic diseases,duration of drainage tube placement,length of hospital stay,complications,and antibiotic usage.Results:The primary causes of infection included comorbid chronic diseases,subcutaneous effusion,invasive procedures,prolonged surgery duration,type Ⅱ surgical incisions,obesity,and smoking.Infections were effectively controlled through measures such as wound cleaning and dressing,elimination of dead space,prevention of underlying chronic diseases,enhanced aseptic awareness,improved robotic operation skills,and rational antibiotic use.The infection rate for robot-assisted surgery was 0.57%.All patients showed complete resolution of infections during postoperative follow-up,with no sequelae.Conclusion:The incidence of nosocomial infections in thyroid disease patients undergoing robot-assisted thyroid surgery is low.For patients with high-risk infection factors,proactive clinical preventive measures should be implemented to minimize the risk of nosocomial infections in robot-assisted thyroid surgery.关键词
手术机器人/机器人甲状腺手术/甲状腺疾病/院内感染/危险因素Key words
Surgical robot/Robot-assisted Thyroid Surgery/Thyroid Disease/Nosocomial Infection/Risk Factor分类
临床医学引用本文复制引用
陈岚清,周鹏,李小磊,朱见,岳涛,徐婧,庄大勇,贺青卿..机器人辅助甲状腺手术院内感染危险因素及对策[J].机器人外科学杂志（中英文）,2025,6(3):445-449,5.基金项目
山东省医药卫生科技发展计划项目(202204011069) （202204011069）
解放军联勤保障部队医学重点学科项目Medical and Health Technology Development Plan Project of Shandong Province(202204011069) （202204011069）
Key Medical Discipline Project of Joint Logistics Support Force of the People's Liberation Army of China （）
