造口旁疝的危险因素：基于影像学定义。
Risk factors for parastomal hernia: based on radiological definition.
作者信息
Hong Sung Yeon, Oh Seung Yeop, Lee Jae Hee, Kim Do Yoon, Suh Kwang Wook
机构信息
Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
出版信息
J Korean Surg Soc. 2013 Jan;84(1):43-7. doi: 10.4174/jkss.2013.84.1.43. Epub 2012 Dec 26.
PURPOSE
The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia and to analyze the risk factors for parastomal hernia.
METHODS
We reviewed retrospectively 108 patients with end colostomy from January 2003 to June 2010. Age, sex, surgical procedure type, body mass index (kg/m(2)), stoma size, and respiratory comorbidity were documented.
RESULTS
There were 61 males (56.5%) and 47 females (43.5%). During an overall median follow-up of 25 months (range, 6 to 73 months), 36 patients (33.3%) developed a radiological parastomal hernia postoperatively and 29 patients (26.9%) presented with a clinical parastomal hernia. In multivariate analysis, gender (odds ratio [OR], 6.087; P = 0.008), age (OR, 1.109; P = 0.009) and aperture size (OR, 6.907; P < 0.001) proved to be significant and independent risk factors after logistic regression analysis.
CONCLUSION
This study showed that the incidence of radiological parastomal hernia is higher than clinical parastomal hernia. Risk factors for parastomal hernia proved to be female, age, and aperture size.
目的
本研究旨在调查造口旁疝的临床和影像学发生率，并分析造口旁疝的危险因素。
方法
我们回顾性分析了2003年1月至2010年6月期间108例行结肠造口术的患者。记录患者的年龄、性别、手术方式、体重指数（kg/m²）、造口大小和呼吸系统合并症。
结果
男性61例（56.5%），女性47例（43.5%）。在平均25个月（范围6至73个月）的随访期间，36例患者（33.3%）术后出现影像学造口旁疝，29例患者（26.9%）出现临床造口旁疝。多因素分析显示，经逻辑回归分析，性别（比值比[OR]，6.087；P = 0.008）、年龄（OR，1.109；P = 0.009）和造口孔径大小（OR，6.907；P < 0.001）是显著且独立的危险因素。
结论
本研究表明，影像学造口旁疝的发生率高于临床造口旁疝。造口旁疝的危险因素为女性、年龄和造口孔径大小。
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