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  • Published:2020-07-23

规范疝修补术后手术部位事件标准和范围

王    平   

  1. 浙江大学附属杭州市第一人民医院,浙江杭州 310006

Abstract: To standardize the standard and scope of surgical site event (SSO) in hernia repair        WANG Ping. Department of Hernia and Abdominal Wall Surgery,Affiliated Hangzhou First People’s Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China
Abstract    Wound event after abdominal hernia repair(VHR) is an important prognostic indicator of operation quality. At present,there is no standard of definition for wound events identification and treatment. The incidence of those wound events reported in the literature is of high difference,so it is difficult to carry out comparative research and quality control. Three standardized definitions of wound event terms including surgical site infection(SSI),surgical site occurrence(SSO) and surgical site occurrence requiring procedural intervention(SSOPI)are used in clinic,which is conducive to reducing the difference of wound event incidence,enabling hernia surgeons to communicate with each other in a correct common language,and improving the ability of evidence-based decision-making in abdominal hernia treatment. It is suggested that the standard definitions of those three terms should be used to discuss the incidence of wound events after VHR.

Key words: ventral hernia, wound event, surgical site infection, surgical site occurrence

摘要: 腹部疝修补术(VHR)术后伤口事件是评估手术质量的一项重要的预后指标,目前缺乏识别和处理伤口事件定义的标准,文献报道伤口事件的发生率差异很大,难以进行比较性研究和质量控制。临床上使用标准化定义的伤口事件术语,即手术部位感染(SSI)、手术部位事件(SSO)和需介入处理的手术部位事件(SSOPI) ,有利于减小伤口事件发生率的差异,便于疝外科医生用一种准确的共同语言进行学术交流,提高对腹部疝治疗循证决策的能力。建议讨论VHR术后伤口事件发生率时采用上述3个术语的标准定义。

关键词: 腹部疝, 伤口事件, 手术部位感染, 手术部位事件