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目的探索口腔专科医院口腔颌面外科非计划再次手术的原因,为提高医疗质量、降低非计划再次手术发生率提供依据。方法对我院口腔颌面外科2011年-2013年120例非计划再次手术情况进行回顾性分析。结果 2011年-2013年住院手术共计14777例,非计划再次手术率0.81%(120/14777)。游离皮瓣血管危象、术后血肿是发生非计划再次手术的主要原因。非计划再次手术患者的平均住院日、平均住院费用与全部手术患者的平均值相比有显著性差异(P<0.01)。结论医院要加强监管,关注高危人群、重点病种和手术,加强疑难手术围手术期的管理,做好早期观察与监测,减少非计划再次手术的发生。
Objective To explore the causes of unplanned reoperation in oral and maxillofacial surgery in oral specialty hospitals and to provide evidence for improving medical quality and reducing the incidence of unplanned reoperation. Methods A retrospective analysis of 120 cases of unplanned reoperation in our hospital from 2011 to 2013 in our department of oral and maxillofacial surgery was performed. Results A total of 14777 cases of inpatient operation in 2011 - 2013 were planned, and the rate of unplanned reoperation was 0.81% (120/14777). Free flap vascular crisis, postoperative hematoma is the main reason for unplanned reoperation. The average length of stay, average hospitalization expenses, and the mean of all patients undergoing unplanned reoperation were significantly different (P <0.01). Conclusion The hospital should strengthen supervision, pay attention to high-risk groups, key diseases and operations, strengthen perioperative management of difficult operations, do early observation and monitoring, and reduce the occurrence of unplanned reoperation.