华西医学

华西医学

常见介入手术感染并发症

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介入放射学自传入我国以来发展迅猛,越来越多的患者选择采用这种微创手术来进行治疗,但介入手术后感染并发症的发生率和潜在的死亡率却不容小觑。介入放射科的医生和感染控制人员必须彻底了解这些潜在的感染并发症,注重提高医疗护理质量,从而控制感染,控制医疗成本,最大限度地提高患者的医疗安全。该文回顾了热消融术、肝动脉栓塞术、经皮肝穿刺胆管引流术、血管内支架、移植物置入术等常见介入手术的感染并发症,重点强调了介入手术后感染并发症的发病率、危险因素以及预防措施,以期降低介入手术后感染并发症的发生情况。

Interventional radiology (IR) has developed rapidly since its introduction into our country. More and more patients choose this minimally invasive procedure for treatment, but the incidence of infectious complications and potential mortality following IR procedures should not be underestimated. As the number and breadth of IR procedures grow, it becomes increasingly evident that interventional radiologists and infection control practitioners must possess a thorough understanding of these potential infectious complications. And emphasis on cost containment, and attention to quality of care, it is critical to have infection control strategies to maximize patient safety. This article reviews infectious complications associated with percutaneous ablation of liver tumors, transarterial embolization of liver tumors, percutaneous transhepatic cholangial drainage, and intravascular stents or grafts. Emphasis is placed on incidence, risk factors, and prevention. With the use of these strategies, IR procedures can be performed with reduced risk of infectious complications.

关键词: 介入放射学; 介入手术; 并发症; 感染

Key words: Interventional radiology; Interventional operation; Complication; Infection

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