Hollands M J, May A R, Edwards J M, Nash A G
Surg Gynecol Obstet. 1983 Feb;156(2):161-2.
Six hundred and sixty-one patients undergoing cholecystectomy were reviewed, and the over-all incidence of postoperative wound infection was found to be 18.6 per cent. Of the 274 patients who underwent cholecystography preoperatively, 150 were found to have functioning nonobstructed stone filled gallbladders. There were 12 postoperative wound infections in this group, 8 per cent. One hundred and twenty-four patients had nonfunctioning and obstructed gallbladders, 31 of whom, 25 per cent, had wound infections develop. The finding of an obstructed gallbladder upon oral cholecystography was associated with a high incidence of wound infection. This group should be considered for prophylactic antibiotics.
对661例行胆囊切除术的患者进行了回顾性研究，发现术后伤口感染的总体发生率为18.6%。在274例术前接受胆囊造影的患者中，发现150例胆囊功能正常、无梗阻且充满结石。该组有12例术后伤口感染，发生率为8%。124例患者胆囊无功能且有梗阻，其中31例（25%）发生了伤口感染。口服胆囊造影显示胆囊梗阻与伤口感染的高发生率相关。对于这组患者应考虑预防性使用抗生素。
