Hackam D J, Rotstein O D
Department of Surgery, Toronto Hospital, ON.
Can J Surg. 1995 Apr;38(2):144-8.
To assess the infection rate in the nonstoma wound in patients who undergo stoma closure.
Chart review.
A tertiary-care hospital.
Ninety-five patients who underwent elective closure of an abdominal wall stoma requiring a separate abdominal incision.
Elective general surgery procedures.
Wound infection rate.
The overall wound infection rate was 29%. Primary wound closure was associated with a markedly increased wound infection rate (41%) compared with delayed primary or secondary wound closure (15%). No other preoperative factor specifically predicted a high rate of postoperative nonstoma wound infection.
The nonstoma wound during elective closure of an abdominal stoma is at high risk for infection postoperatively. Delayed primary or secondary closure may lessen this risk.
评估行造口关闭术患者非造口伤口的感染率。
病历回顾。
一家三级医疗医院。
95例行腹壁造口择期关闭术且需要另做腹部切口的患者。
择期普通外科手术。
伤口感染率。
总体伤口感染率为29%。与延迟一期或二期伤口缝合（15%）相比，一期伤口缝合的伤口感染率显著升高（41%）。没有其他术前因素能明确预测术后非造口伤口的高感染率。
择期进行腹壁造口关闭术时，非造口伤口术后感染风险高。延迟一期或二期缝合可能会降低这种风险。
