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新生儿嵌顿疝肠坏死高危因素logistic回归分析

曾承 余雷 陈峪 卞红强 郑凯 叶国刚

中国当代儿科杂志2012,Vol.14Issue(12):903-905,3.
中国当代儿科杂志2012,Vol.14Issue(12):903-905,3.

新生儿嵌顿疝肠坏死高危因素logistic回归分析

Logistic regression analysis of high-risk factors for neonatal incarcerated hernia with intestinal necrosis

曾承 1余雷 1陈峪 2卞红强 3郑凯 3叶国刚3

作者信息

  • 1. 武汉市儿童医院新生儿外科,湖北武汉 430000
  • 2. 武汉市妇幼保健院妇产科 湖北武汉430000
  • 3. 武汉市儿童医院普外科,湖北武汉430000
  • 折叠

摘要

Abstract

Objective To investigate the high-risk factors for neonatal incarcerated hernia with intestinal necrosis by logistic regression analysis. Methods Retrospective analysis was performed on the clinical data of 131 neonates with incarcerated oblique inguinal hernia containing the intestine. Of the 131 cases, 14 suffered from intestinal necrosis. The highrisk factors for neonatal incarcerated hernia with intestinal necrosis were determined by logistic regression analysis. Results Manual reduction after incarceration ( >2 times) (x2 = 69.289, P<0.01), incarceVation history ( >2 times) (x2 = 84.731, P <0.01), and mesentery incarceration (x2 = 80. 233, P < 0. 01) were the high-risk factors for neonatal incarcerated hernia with intestinal necrosis. Conclusions Intestinal necrosis tends to occur in neonales with incarcerated hernia who have incarceration or received manual reduction more than twice and suffer from mesentery incarceration. Manual reduction is prohibited for these cases, which should be surgically treated immediately.

关键词

嵌顿疝/肠坏死/新生儿

Key words

Incarcerated hernia/Intestinal necrosis/Neonate

分类

医药卫生

引用本文复制引用

曾承,余雷,陈峪,卞红强,郑凯,叶国刚..新生儿嵌顿疝肠坏死高危因素logistic回归分析[J].中国当代儿科杂志,2012,14(12):903-905,3.

中国当代儿科杂志

OA北大核心CSCDCSTPCDMEDLINE

1008-8830

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