CAJ | 학술논문

目的探讨影响烧伤外科发生非计划再手术的危险因素。方法分析2006年1月~2012年3月间解放军第八五医院烧伤整形外科施行的291次烧伤外科手术的临床资料。根据是否行非计划再手术分为再手术组和非再手术组，对2组患者的临床指标和手术情况进行比较，并对其相关风险因素进行多因素回归分析。结果非计划再手术37次。患者性别、创面修复手术、感染手术、皮瓣修复手术、手术者职称、空腹血糖与非计划再手术的发生有关（P<0.05）。多因素回归分析显示，感染手术、术者职称是影响非计划再手术的独立危险因素。结论积极防治感染、提高术者诊疗水平是减少烧伤外科非计划再手术的重要措施。
목적탐토영향소상외과발생비계화재수술적위험인소。방법분석2006년1월~2012년3월간해방군제팔오의원소상정형외과시행적291차소상외과수술적림상자료。근거시부행비계화재수술분위재수술조화비재수술조，대2조환자적림상지표화수술정황진행비교，병대기상관풍험인소진행다인소회귀분석。결과비계화재수술37차。환자성별、창면수복수술、감염수술、피판수복수술、수술자직칭、공복혈당여비계화재수술적발생유관（P<0.05）。다인소회귀분석현시，감염수술、술자직칭시영향비계화재수술적독립위험인소。결론적겁방치감염、제고술자진료수평시감소소상외과비계화재수술적중요조시。
Objective To investigate risk factors associated with non-planned reoperation in burns surgical patients. Methods Clinical data of 291 patients underwent burns surgery between January 2006 and March 2012 were analyzed retrospectively. The patients were divided into the reoperation group and non-reoperation group according to the occurrence of non-planned operation. The clinical data were compared between the two groups, and independent risk factors for non-planned operation were identified by multiple regression analysis. Results There were 37 times non-planned reoperation. On univariate analysis, non-planned operation was associated with sex, wound repair operation, infection operation, flap repair operation, performer technical title, and fasting blood sugar levels. Logistic regression analysis revealed that infection operation and performer technical title were independent risk factors for non-planned operation. Conclusion Positive prevention and treatment of infection, improving the diagnosis and treatment level of surgeon are effective measures to decrease the incidence of non-planned reoperation in burns surgical patients.