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[切口疝。丹麦一个县的发病率、死亡率及床位使用情况研究]

[Incisional hernia. A study of morbidity, mortality and bed utilization in a Danish county].

作者信息

Madsen S S, Mortensen J, Ejstrud P, Haugaard K, Jepsen M H, Nilsson T, Højlund C, Madsen H C, Madsen S N

机构信息

Aalborg Syngehus Syd, kirurgisk gastroenterologisk afdeling A.

出版信息

Ugeskr Laeger. 1996 Dec 30;159(1):49-51.

PMID:8993188
Abstract

Four hundred and four patients operated for ventral hernia during a five year period were reviewed with special emphasis on morbidity, mortality and number of days in hospital. The patients were divided into 357 patients who had been operated for ventral hernia only once (A) and 47 patients who had been operated more than once for ventral hernia (B). There were no significant differences between the two groups regarding to ages or preoperative condition. The postoperative complications were 21% in group A and 12% in group B, although this was not statistically significant. Of those who suffered a complication after the operation, 76% had a competing illness prior to the operation. The overall mortality was 0.5%. The patients were hospitalized for a total of 4846 days. In view of the results of this material and of the high recurrence rate demonstrated in the literature, a restrictive attitude towards operations for ventral hernia is recommended.

摘要

对五年内接受腹疝手术的404例患者进行了回顾性研究,重点关注发病率、死亡率和住院天数。患者分为仅接受过一次腹疝手术的357例患者(A组)和接受过一次以上腹疝手术的47例患者(B组)。两组在年龄或术前状况方面无显著差异。A组术后并发症发生率为21%,B组为12%,尽管这在统计学上无显著意义。术后发生并发症的患者中,76%在手术前患有其他疾病。总体死亡率为0.5%。患者总共住院4846天。鉴于该材料的结果以及文献中显示的高复发率,建议对腹疝手术采取限制性态度。

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