污染性頭頸部癌症手術後的感染影響因子－149例推測統計學之分析－

Affecting Factors of Postoperative Infection in Head and Neck Cancer Surgery - Statistical Analysis for 149 Cases

溫永頌(Yung-Sung Wen) ； 郭文烈(Wen-Rei Kao) ； 阮愷輝(Kai-Hui Juan)

《中華民國耳鼻喉科醫學會雜誌》 27卷1期 (1992/03) Pp. 24-34

https://doi.org/10.6286/1992.27.1.24

摘要

The wound infections caused at upper aerodigestive cancer surgeries may give unsatisfactory result, even when prophylactic antiobiotics were used. The conditions of the patients and the progression of the tumor may be the major affecting factors.
In different tumor stage, the extent of the wound infectin caused by the affecting factors is different. We have found there are statistical correlations between ”with or without tracheotomy”, ”tumor stage”, ”tumor size”, ”lymph node metastasis”, ”flap reconstruction”, ”complicated surgical procedure”, ”operation time” and ”blood loss”, and postoperative wound infection in the total patient group. But in comparison again under each tumor stage, only ”with or without tracheotomy”, ”operation time” and ”blood loss” have correlation with wound infections. These reveal that the latter 3 factors may have important relationship to wound infections. Prominent statistic relationship is found in comparing the wound infections between the tumors of the oral cavith and laryngeal or pharyngeal area. The queer changes about infection rates of tracheotomy time in different tumor stage will be discussed.

關鍵字

污染性頭頸部癌症手術 ； 傷口感染

並列摘要

The wound infections caused at upper aerodigestive cancer surgeries may give unsatisfactory result, even when prophylactic antiobiotics were used. The conditions of the patients and the progression of the tumor may be the major affecting factors.
In different tumor stage, the extent of the wound infectin caused by the affecting factors is different. We have found there are statistical correlations between ”with or without tracheotomy”, ”tumor stage”, ”tumor size”, ”lymph node metastasis”, ”flap reconstruction”, ”complicated surgical procedure”, ”operation time” and ”blood loss”, and postoperative wound infection in the total patient group. But in comparison again under each tumor stage, only ”with or without tracheotomy”, ”operation time” and ”blood loss” have correlation with wound infections. These reveal that the latter 3 factors may have important relationship to wound infections. Prominent statistic relationship is found in comparing the wound infections between the tumors of the oral cavith and laryngeal or pharyngeal area. The queer changes about infection rates of tracheotomy time in different tumor stage will be discussed.

並列關鍵字

contaminated head and neck cancer surgery ； wound infection