摘要
目的探讨腹壁切口疝病因的危险因素。方法应用成组的病例对照研究方法,通过单因素及非条件Logistic逐步回归分析法,筛选分析腹壁切口疝发生的主要危险因素与切口疝发病率的关系。结果 1999年1月至2009年12月间我院切口疝的发生率约为0.56%,年龄、肥胖、糖尿病、贫血及营养不良、呼吸系统疾病、切口感染、手术时间、术后排气时间等与腹壁切口疝的发生有显著的关系。结论我院腹壁切口疝发生的危险因素主要为不可变因素,危险因素中的可变因素可通过完善术前检查及围手术期准备,纠正、治疗原发病,缩短手术时间,选择缝合方式,预防切口感染等来降低腹壁切口疝的发生。
Objective To analyze the etiologic risk factors of ventral incisional hernia. Methods Screening and analyzing the major risk factors of etiology of ventral incisional hernia and the relationship between the risk factors and the incidence of ventral incisional hernia by group case-control study and single-factor and non-conditional logistical regression analysis. Results The incidence of incisional hernia of abdominal wall is 0.56% from January 1999 to December 2009. The risk factors consist of age,obesity,diabetes,anemia and malnutrition,respiratory diseases,incision infection,operation time and delayed evacuating time. Conclusions The majority of the risk factors are immutable in our hospital and the variable risk factors can be controlled by refining the preoperative examinations and preparations,managing the primary diseases,shortening the operation time,improving the suture method and preventing from incisional infection to reduce the incidence of incisional hernia.
出处
《中华疝和腹壁外科杂志（电子版）》
2010年第3期34-37,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹
危险因素
回归
分析
Hernia
ventral
Risk Factors
Regression
analysis
