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find Author "顾尽晖" 2 results
  • 146 例肛周脓肿脓液培养及药敏试验结果分析

    目的 总结肛周脓肿相关致病菌的分布以及药敏特点,为其临床抗生素的应用提供依据。 方法 回顾性分析 2012 年 4 月至 2016 年 7 月期间于苏州高新区人民医院肛肠科行手术治疗的 146 例肛周脓肿患者的脓液细菌培养结果和药敏结果。 结果 146 例标本中检出病原菌 156 株,其中革兰阴性菌 137 株,占 87.8%;革兰阳性菌 19 株,占 12.2%。数量在前 3 位的细菌依次为大肠埃希菌 109 株(69.9%)、肺炎克雷伯菌 18 株(11.5%)和金黄色葡萄球菌 9 株(5.8%)。156 株细菌中检出产超广谱 β-内酰胺酶(ESBLs)细菌 34 株,占 21.8%,除 1 株为肺炎克雷伯菌外,其余均为大肠埃希菌。对革兰阴性菌,前 3 种敏感抗菌药物分别为阿米卡星、哌拉西林他唑巴坦及头孢西丁,前 3 位耐药的抗菌药物为哌拉西林、四环素及磺胺甲噁唑/甲氧苄啶;对革兰阳性菌,前 3 种敏感抗菌药物分别为左氧氟沙星、亚胺培南和庆大霉素;前 3 位耐药的抗菌药物为青霉素/氨苄西林舒巴坦(并列)、环丙沙星及四环素/阿莫西林/氨苄西林(并列)。 结论 肛周脓肿的病原菌以大肠埃希菌为主,且产 ESBLs 细菌主要为大肠埃希菌。

    Release date:2017-07-12 02:01 Export PDF Favorites Scan
  • Clinical Progress of The Ligation of Intersphincteric Fistula Tract in The Treatment of Anal Fistula

    ObjectiveTo summarize the latest research progress of intersphincteric fistula ligation in the treatment of anal fistula. MethodsThrough the retrieval of CNKI and PubMed literature database, the principle, clinical application and related improvement of LIFT were reviewed. ResultsLigation of intersphincteric fistula tract is a sphincter preserving surgery in recent years. Because it has the advantage of ensuring the integrity of the sphincter, less damage to the anal function after operation, the wound healing quickly and so on, it has been accepted by domestic and foreign scholars. ConclusionLIFT to cure anal fistula while ensuring the anal function integrity, is the development trend of anal fistula surgery, is worthy to be popularized.

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