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目的:分析肿瘤患者非计划再手术的原因,为进一步提高医疗质量提供依据。方法:对我院2012年11月—2013年10月的肿瘤非计划再手术患者13例,对其科室分布与再手术原因进行统计分析。结果:非计划再手术发生率前三位的科室是肿瘤外科、骨科、肿瘤妇科,其中肿瘤外科6例,发生率达46.2%,骨科3例,发生率为23.1%,肿瘤妇科2例,发生率为15.4%,术后止血、吻合口瘘、手术切口问题是发生非计划再手术的主要原因。结论:非计划再手术既增加患者住院费用,延长平均住院日,同时还影响治疗效果,降低住院患者满意度。应加大对非计划再手术的管理。
Objective: To analyze the causes of unplanned reoperation in cancer patients and provide the basis for further improving the quality of medical care. Methods: Thirteen patients with unplanned reoperation of tumor in our hospital from November 2012 to October 2013 were retrospectively analyzed. Results: The top three departments of unplanned reoperation were tumor surgery, orthopedics and tumor gynecology. Including 6 cases of tumor surgery, the incidence rate was 46.2%, 3 cases of orthopedics, the incidence rate was 23.1%, and 2 cases of tumor gynecology occurred Rate of 15.4%, postoperative hemostasis, anastomotic leakage, surgical incision is the main reason for unplanned reoperation. Conclusion: Unplanned reoperation not only increases the cost of hospitalization and prolongs the average length of stay, but also affects the treatment effect and the satisfaction of inpatients. Should increase the management of unplanned reoperation.