急腹症手术切口选择失误的防范与应对

目的　探讨急腹症手术切口选择失误的原因、预防及处理。方法　回顾分析我院 1990～ 2 0 0 3年间发生的 5 2例急腹症手术切口选择失误的临床资料。结果　切口选择失误多因术前诊断错误、病变定位不当引起。经更改切口后 ,5 2例均顺利完成手术。术后并发切口疝 2例 ,切口延迟愈合 1例 ,肠粘连 3例。结论　正确的术前诊断是避免或减少急腹症手术切口选择失误的前提 ,及时合理的更改切口是保证手术成功的关键。

Prevention and Treatment of Incorrect Celiotomy Incision in Acute Abdominal Emergency Patients

Objective To explore the cause, prevention and treatment of incorrect celiotomy incision in acute abdominal emergency patients. Methods 52 acute abdominal emergency patients with incorrect Celiotomy incision from 1990 to 2003 were analyzed retrospectively. Results In these patients, incorrect selection of incision was due to misdiagnosis and incorrect judgment of position before operation. The operation was done smoothly after changing to proper incision in 52 patients. After operation, incisional hernias appeared in two patients, delayed union of incision appeared in one patient, and intestinal adhesion was appeared in 3 patients. Conclusions Correct preoperative diagnosis may avoid or reduce the risk of incorrect incision. The incorrect incision must be modified in time.