椎管肿瘤术后患者切口愈合时间相关影响因素调查分析  

A retrospective study of factors influencing incision healing time in postoperative patients with spinal canal tumors

作　　者：许健[1] 张驰[1] 王艳[1] 单荣梦 陈航[1] 王志霞[2] Xu Jian;Zhang Chi;Wang Yan;Shan Rongmeng;Chen Hang;Wang Zhixia(Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 450003, China;Department of Gastrointestinal Surgery, Henan Provincial People's Hospital, Zhengzhou 450003,China)

机构地区：[1]河南省人民医院神经外科,郑州450003 [2]河南省人民医院胃肠外科,郑州450003

出　　处：《中华医学杂志》2019年第25期1968-1971,共4页National Medical Journal of China

基　　金：河南省科技厅科技攻关项目(182102310147).

摘　　要：目的探讨椎管肿瘤术后患者切口愈合时间的影响因素。方法回顾性分析2017年12月至2019年2月就诊于河南省人民医院神经外科116例椎管肿瘤患者临床资料,116例中男60例,女56例,年龄(44±16)岁,采用Logistic回归法分析其切口愈合时间的影响因素。结果单因素分析显示,四肢肌力(P=0.011)、疾病部位(P=0.031)、留置管路(P=0.029)、脊神经功能(P=0.000)、椎管肿瘤类型(P=0.006)、糖尿病(P=0.043)、体质量指数(BMI)(P=0.001)、手术切口长度(P=0.006)、脑脊液漏(P=0.001)及手术时长(P=0.002)差异均有统计学意义;Logistic回归分析示,椎管肿瘤类型(P=0.038)、脊神经功能(P=0.002)、手术切口长度(P=0.000)、脑脊液漏(P=0.004)、手术时长(P=0.046)均差异有统计学意义。结论四肢肌力、疾病部位、留置管路、手术时长、脊神经功能、椎管肿瘤类型、糖尿病、BMI、手术切口长度及脑脊液漏均为椎管肿瘤术后患者切口愈合时间的影响因素;其中椎管肿瘤类型、手术切口长度、脑脊液漏、脊神经功能及手术时长为该类患者切口愈合时间的独立影响因素。Objective To explore the factors influencing incision healing time in postoperative patients with spinal canal tumors. Methods The clinical data of 116 patients with spinal canal tumors (60 males and 56 females, with an average age of 44±16 years) in neurosurgery department of Henan People′s Hospital from December 2017 to February 2019 were retrospectively analyzed. The influencing factors of incision healing time were analyzed by Logistic regression. Results Univariate analysis showed that limb muscle strength (P=0.011), the location of tumors (P=0.031), indwelling catheters (P=0.029), spinal neural function (P=0.000), Types of spinal canal tumors (P=0.006), Diabetes (P=0.043),BMI (P=0.001), Length of surgical incision (P=0.006),Cerebrospinal fluid leakage (P=0.001), the operation duration (P=0.002) presented statistical significance;Logistic regression analysis showed that there were significant differences in Types of spinal canal tumors (P=0.038), Length of surgical incision (P=0.000), Cerebrospinal fluid leakage (P=0.004), spinal neural function (P=0.002) and the operation duration (P=0.046). Conclusions Extremity muscle strength, the location of tumors, indwelling catheters, the operation duration, spinal neural function, Types of spinal canal tumors, Diabetes, BMI, Length of surgical incision, Cerebrospinal fluid leakage were influencing factors of incision healing time in postoperative patients with spinal canal tumors;Among which Types of spinal canal tumors, Length of surgical incision, Cerebrospinal fluid leakage, Spinal neural function and The operation duration were independent influencing factors.

关 键 词：椎管肿瘤 切口愈合时间 影响因素 

分 类 号：R739.42[医药卫生—肿瘤]