Józefowicz-Korczyńska M, Łukomski M, Starska K, Rózalska M
Katedra i Klinika Otolaryngologii Akademii Medycznej w Łodzi.
Med Dosw Mikrobiol. 2000;52(4):397-403.
Finding of the a etiologic factors and participation of bacteria flora in wound healing in laryngeal cancer treatment was the purpose of our study. Investigations were performed in 27 patients. Swabs were taken from the postoperative wounds. Detailed identifications of the bacteria flora and antibiotic susceptibility of bacteria were performed. Wound healing was estimated according to extension of the carcinoma, applied antibiotics, state of the oral cavity, the kind of bacteriological flora isolated after surgical treatment from postoperative wounds. It was found that wound healing depended on the extension of carcinoma, as well as, type of isolated bacteria and antibiotic therapy used. The proper healing of postoperative wounds was not dependent on the state of the oral cavity and the dentition. The main cause of postoperative complication of wounds was methicillin-resistant Staphylococcus aureus (MRSA).
寻找喉癌治疗中伤口愈合的病因及细菌菌群的参与情况是我们研究的目的。对27例患者进行了调查。从术后伤口采集拭子。对细菌菌群进行了详细鉴定，并检测了细菌的抗生素敏感性。根据癌肿范围、所用抗生素、口腔状况、手术治疗后从术后伤口分离出的细菌菌群种类来评估伤口愈合情况。结果发现，伤口愈合取决于癌肿范围、分离出的细菌类型以及所用的抗生素治疗。术后伤口的正常愈合不取决于口腔状况和牙列情况。伤口术后并发症的主要原因是耐甲氧西林金黄色葡萄球菌（MRSA）。
