重庆医学2025，Vol.54Issue(3)：625-629,634,6.DOI:10.3969/j.issn.1671-8348.2025.03.012
后外侧入路腰椎融合手术部位感染的危险因素和干预措施研究
Risk factors and intervention strategies for surgical site infections in lumbar fusion via posterolateral approach
摘要
Abstract
Objective To investigate the risk factors and intervention measures for surgical site infec-tion following posterolateral approach lumbar fusion surgery.Methods A total of 1 078 patients who under-went posterolateral approach lumbar fusion surgery in the department of spine surgery from January 1,2022 to December 31,2023 were included.Patient related information was collected through the real-time nosocomi-al infection monitoring system,while medical visit information was obtained via the outpatient electronic med-ical record system.Multivariate logistic regression analysis was performed to identify risk factors for surgical site infection.Results Among the 1 078 patients,34 cases(3.15%)developed surgical site infections,while 1 044 cases did not.Multivariate logistic regression analysis revealed that age,smoking,hypertension,diabetes,concurrent hospital stay,operative time,duration of postoperative antimicrobial use after initial surgery,and total antimicrobial use duration were significant risk factors for surgical site infection(P＜0.05).Among the 34 infected patients,the duration of antimicrobial use varied significantly across different infection sites(P＜0.05),with the longest duration observed in patients with deep space infections.Conclusion Targeted surveil-lance of surgical site infections should be reinforced based on these risk factors.Perioperative infection control measures must be strictly implemented to improve the scientific,precise,and standardized management of sur-gical-related nosocomial infections.关键词
腰椎融合术/手术部位感染/logistic模型/后外侧入路Key words
lumbar vertebrae surgery/surgical wound infection/logistic models/posterolateral ap-proach分类
医药卫生引用本文复制引用
涂丽香,王凤玲,朱晓松,卓凤娟,孙志清,李洪艳..后外侧入路腰椎融合手术部位感染的危险因素和干预措施研究[J].重庆医学,2025,54(3):625-629,634,6.基金项目
国家自然科学基金项目(82003435) （82003435）
国家卫生健康委医院管理研究所"感研"项目(GY2023031-A) （GY2023031-A）
山东省自然科学基金项目(ZR2020QH332). （ZR2020QH332）
