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中华肺部疾病杂志(电子版) ›› 2022, Vol. 15 ›› Issue (03) : 416 -418. doi: 10.3877/cma.j.issn.1674-6902.2022.03.035

短篇论著

早期肺癌胸腔镜术后切口愈合不良的危险因素分析
王婷1, 戴小霞1, 刘权兴2, 戴纪刚2, 余江1,()   
  1. 1. 400037 重庆,陆军(第三)军医大学第二附属医院门诊部
    2. 400037 重庆,陆军(第三)军医大学第二附属医院胸外科
  • 收稿日期:2021-09-19 出版日期:2022-06-25
  • 通信作者: 余江
  • 基金资助:
    重庆市科卫联合项目(2020MSXM031)

Analysis of risk factors for poor incision healing after thoracoscopy in early lung cancer

Ting Wang1, Xiaoxia Dai1, Quanxing Liu2   

  • Received:2021-09-19 Published:2022-06-25
引用本文:

王婷, 戴小霞, 刘权兴, 戴纪刚, 余江. 早期肺癌胸腔镜术后切口愈合不良的危险因素分析[J]. 中华肺部疾病杂志(电子版), 2022, 15(03): 416-418.

Ting Wang, Xiaoxia Dai, Quanxing Liu. Analysis of risk factors for poor incision healing after thoracoscopy in early lung cancer[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(03): 416-418.

胸腔镜手术(video-assisted thoracoscopic surgery, VATS)是治疗早期肺癌的外科常用手术方式[1],具有创伤小、恢复快、应用范围广等优点[2],但随之而来的术后切口愈合不良(poor wound healing, PWH)是胸外科临床工作中不容忽视的问题[3]。VATS术后PWH的主要原因有:切口裂开渗液、脂肪液化、愈合延迟等[4]。VATS术后发生PWH将导致住院时间增加,且增加切口感染及肺部感染发生的风险[5]。早期识别可能发生PWH的高危人群,并及时做出预防性干预措施,对VATS术后降低感染风险有重要意义。分析VATS术后PWH的报道较少,本文回顾性分析了我院伤口治疗门诊处理的胸腔镜术后患者的临床资料,旨在分析胸腔镜手术后切口愈合不良的危险因素,报道如下。

表1 两组患者暴露因素的单因素分析
表2 PWH危险因素的Logestic回归分析
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