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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 18 -20. doi: 10.3877/cma.j.issn.1674-392X.2025.01.003

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与疝外科手术质量管理相关的指标
陈双1,(), 黄恩民1   
  1. 1.510655 广州,中山大学附属第六医院疝和腹壁外科
  • 收稿日期:2024-12-18 出版日期:2025-02-18
  • 通信作者: 陈双

Indicators related to the quality management of hernia and abdominal wall surgery

Shuang Chen1,(), Enmin Huang1   

  1. 1.Department of Hernia and Abdominal Wall Surgery, Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510655, China
  • Received:2024-12-18 Published:2025-02-18
  • Corresponding author: Shuang Chen
引用本文:

陈双, 黄恩民. 与疝外科手术质量管理相关的指标[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(01): 18-20.

Shuang Chen, Enmin Huang. Indicators related to the quality management of hernia and abdominal wall surgery[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(01): 18-20.

本文讨论了用于评估疝外科手术质量与并发症的三项关键指标:手术部位感染(SSI)、手术部位事件(SSO)及需要干预的手术部位事件(SSOPI)。SSI 细分为浅层、深层和器官腔隙感染,提供了对不同感染严重程度的深入理解;SSO 包括血清肿、切口裂开等伤口相关事件,虽然扩展了并发症的定义,但不足以完全反映手术质量;SSOPI 则聚焦于需干预的并发症,但未涵盖非手术管理。Clavien-Dindo 分级系统作为评价外科并发症更全面的工具,涵盖了手术并发症的多重层面,但仍需建立符合中国实际的切口不良事件评分体系,以进一步优化术后管理和个体化治疗。

This article discusses three key indicators for evaluating the quality and complications of hernia and abdominal wall surgery: Surgical Site Infection (SSI), Surgical Site Occurrence (SSO), and Surgical Site Occurrences Requiring Procedural Interventions (SSOPI).SSI is categorized into superficial,deep, and organ cavity infections, providing an in-depth understanding different infections severity.SSO includes wound-related events such as seroma and incision dehiscence, which expanding the definition of complications, but not fully reflect surgical quality.SSOPI focuses on complications requiring intervention but does not encompass non-surgical management.The Clavien-Dindo classification system serves as a more comprehensive tool that addresses multiple facets of surgical complications.However, it is necessary to establish a scoring system for adverse surgical events tailored to the actual situation in China, to further optimize postoperative management and individualized treatment.

表1 Clavien-Dindo 手术并发症严重程度分级
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