摘要
目的分析烧伤外科病人再手术的原因,探讨有效预防措施,以提高烧伤外科手术治疗水平。方法对我科2006年1月至2011年12月间收治的202例烧伤外科手术病人再手术情况进行回顾性分析。结果 60例行再手术91次,包括计划再手术54次和非计划再手术37次。非计划再手术中,术后出现并发症21次,手术未达到预期疗效16次。非计划再手术率在非烧伤难愈性创面病人中最高,达22.73%,在烧伤后畸形整形病人中最低,为0。非烧伤整形病人的非计划再手术率为20.90%,明显高于烧伤整形病人的10.18%(P<0.05),难愈性创面病人的非计划再手术率为18.52%,虽高于非难愈性创面病人的10.38%,但无统计学差异(P>0.05)。结论积极防治并发症、重视创伤和难愈性创面的处理、提高术者诊疗水平、减少手术失误是预防烧伤外科病人非计划再手术的有效措施。
Abstract ： Objective To analyze the causes of reoperation in burns surgical patients and to explore the effective preventive measures so as to make an improvement in operation quality of burns surgery. Method 202 patients undergoing operation in burns ward from January 2006 to December 2011 were an- alyzed retrospectively. Results There were 91 reoperations done in 60 patients in this group, included 54 times of planned reoperation and 37 times of non-planned reoperation. The causes of non-planned reop- eration were postoperative complications （ 21 times） and operation did not achieve the desired effects （ 16 times）. The highest rate of non-planned reoperation was in non-burn refractory wound patients, and the lowest was in burns deformed plastic patients. It was significantly higher of the non-planned reoperation rate in the non-burn plastic patients, comparing with the burned plastic deformity patients （ P 〈 0.05 ）. The non-planned reoperation rate in refractory wound patients was higher than that of the non-refractory wound patients, but had no significant difference（ P 〉 0.05 ）. Conclusions Active prevention and treatment of complications, emphasis on the treatment of trauma and refractory wound, improving the level of diagno- sis and treatment of surgeons and reducing surgical mistakes are effective measures to decrease the incidence of non-planned reoperations in burns surgical patients.
出处
《中国现代手术学杂志》
2012年第5期331-334,共4页
Chinese Journal of Modern Operative Surgery
关键词
烧伤
伤口愈合
再手术
手术后并发症
burns
wound healing
reoperation
postoperative complications
