口腔专科住院患者非计划再次手术原因分析

目的探讨口腔专科住院患者非计划再次手术的特点及原因。 方法通过回顾研究2012年1月至2014年12月期间，南京大学医学院附属口腔医院住院患者的临床资料，统计了所有非计划再次手术的发生率及其原因。 结果三年间手术共8135例，非计划再次手术136例，发生率为1.67%。非计划再次手术男女比例为2.32∶1，平均年龄52.4岁。非计划再次手术的主要原因为血管危象（32.35%）、出血（30.15%）和诊断困难（29.41%）。 结论导致口腔专科住院患者非计划再次手术的主要原因为血管危象、术后出血和诊断困难，强化围手术期处理水平和提高临床与病理诊断准确率可以减少非计划再次手术的发生。

Analysis on causes of unplanned return to surgery in a stomatological hospital

ObjectiveTo determine the clinical characteristics and causes of unplanned return to surgery in a stomatological hospital. MethodsAll 136 patients undergoing unplanned return to operating room from January 2012 to December 2014 were reviewed to analyze the clinical characteristics and causes. ResultsThere were 8135 cases undergoing surgery and the rate of unplanned return to surgery was 1.67%. The patients undergoing return to surgery comprised 95 men and 41 women (the male∶female ratio of 2.32∶1) . The mean age was 52.4 years. Among the common causes of unplanned return to operating room, the proportion of vascular crisis, postoperative bleeding and diagnostic issues were 32.35%, 30.15% and 29.41% respectively. ConclusionsThe main causes of unplanned return to surgery in the stomatological hospital were flap vascular crisis, postoperative bleeding and diagnostic issues. Improving perioperative management and diagnostic capability could reduce the incidence of unplanned return to surgery.