欢迎访问浙江中西医结合杂志   今天是   加入收藏   |   设为首页
吴浩,张方捷,高国栋.腹壁切口疝术后外科并发症的危险因素分析[J].浙江中西医结合杂志,2020,30(10):
腹壁切口疝术后外科并发症的危险因素分析
Risk factors of surgical complications after abdominal incisional hernia surgery
投稿时间:2020-03-13  修订日期:2020-08-21
DOI:
中文关键词:  腹壁切口疝  外科并发症  危险因素
英文关键词:abdominal wall incisional hernia  Surgical complication  Risk factor
基金项目:浙江省基础公益研究计划(LGF20H030007)
作者单位E-mail
吴浩 浙江大学医学院附属杭州市第一人民医院 641274773@qq.com 
张方捷 浙江大学医学院附属杭州市第一人民医院  
高国栋 浙江大学医学院附属杭州市第一人民医院 839817971@qq.com 
摘要点击次数: 107
全文下载次数: 0
中文摘要:
      目的:明确腹壁切口疝修补术后外科并发症的危险因素。方法:回顾性分析了我中心2016年1月至2019年1月收治的86例腹壁切口疝手术患者的临床资料,术后随访一年,记录术后外科并发症的发生情况,并采用logistic回归分析术后外科并发症发生的危险因素。结果:术后外科并发症发生14例,发生率16.279%(14/86)。其中切口愈合不良/感染和疝复发是最常见的并发症。共有6例(6.977%)进行了二次手术,分别是2例补片感染、1例肠瘘和3例疝复发,术后随访一年未有死亡病例发生。单因素分析:手术时间(≥180min)、疝缺损大小(≥8cm)、手术方式(IPOM)具有统计学意义(P<0.05)。 logistic多因素分析:疝缺损大小(OR=4.020,P=0.038,95%CI:1.081-14.952)、手术方式(OR=6.096,P=0.012,95%CI:1.492-24.900)是外科并发症发生的独立危险因素。结论:对于腹壁切口疝患者,在疝缺损较大时(≥8cm)我们需警惕外科并发症的发生。在选择手术方式时,我们更建议采用Sublay手术方式。
英文摘要:
      Objective: To determine the risk factors of surgical complications after abdominal incisional hernia repair.Methods: The clinical data of 86 patients with abdominal wall incisional hernia surgery admitted to our center from January 2016 to January 2019 were retrospectively analyzed.?The postoperative follow-up was conducted for one year to record the occurrence of postoperative surgical complications, and the risk factors of postoperative surgical complications were analyzed by logistic regression.Results: There were 14 cases of postoperative surgical complications, with an incidence of 16.279% (14/86).Poor incision healing/infection and hernia recurrence are the most common complications. A total of 6 patients (6.977%) underwent secondary surgery, including 2 cases of patch infection, 1 case of intestinal fistula and 3 cases of hernia recurrence. No deaths occurred during the postoperative follow-up for one year.Univariate analysis: the operation time (≥180min), hernia defect size (≥8cm) and IPOM were statistically significant (P<0.05).Logistic multivariate analysis: the size of hernia defect (OR=4.020,P=0.038,95%CI:1.081-14.952) and surgical method (OR=6.096,P=0.012, 95%CI:1.492-24.900) were independent risk factors for surgical complications.Conclusion: For patients with incisional hernia of abdominal wall, we should be alert to the occurrence of surgical complications when the hernia defect is large (≥8cm).In the choice of surgical methods, we recommend the use of Sublay surgical method.
查看全文  查看/发表评论  下载PDF阅读器
关闭