与疝外科手术质量管理相关的指标  

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

作　　者：陈双[1] 黄恩民 Chen Shuang;Huang Enmin(Department of Hernia and Abdominal Wall Surgery,Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou,Guangdong 510655,China)

机构地区：[1]中山大学附属第六医院疝和腹壁外科,广州510655

出　　处：《中华疝和腹壁外科杂志(电子版)》2025年第1期18-20,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：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.

关 键 词：手术部位感染 手术部位事件 需要干预的手术部位事件 疝和腹壁外科 

分 类 号：R47[医药卫生—护理学]