吸脂腹壁整形术术后并发症及其影响因素的Logistic回归分析OA
Logistic Regression Analysis of Postoperative Complications and Their Influencing Factors in Lipoabdominoplasty
目的:探讨吸脂腹壁整形术后并发症及其独立危险因素.方法:选取2020年4月-2024年5月笔者医院接受吸脂腹壁整形术的244例就医者为研究对象,收集就医者年龄、体重指数(BMI)、吸烟史、吸脂量、手术时长及并发症相关资料.根据术后是否发生并发症将就医者分为并发症组与非并发症组,对两组上述变量分别进行单因素分析与多元Logistic回归分析,明确各变量对术后总体并发症发生的独立预测价值.结果:本组244例就医者,术后轻度并发症(包括腰背痛、低血压、血清肿、切口裂开、切口脂肪液化、切口感染、小腿肌间血栓)和重度并发症(包括严重血清肿、皮瓣坏死、切口感染、切口脂肪液化、肺不张)发生率分别为32.3%和6.2%.单因素分析显示:两组年龄、BMI、吸脂量比较,差异有统计学意义(P＜0.05);两组吸烟史、手术时长比较,差异无统计学意义(P＞0.05).多因素Logistic分析显示,年龄、BMI、吸脂量是术后总体并发症发生的独立危险因素(P＜0.05);而吸烟史、手术时长对术后总体并发症的发生未显示出独立影响效应(P＞0.05).结论:吸脂腹壁整形术安全性尚可,并发症多为轻度.在校正混杂因素后,年龄、BMI、吸脂量是术后并发症的独立危险因素,可用于术前高风险就医者筛查与个体化围手术期风险咨询.
Objective To explore the incidence and independent risk factors of complications after lipoabdominoplasty.Methods A total of 244 patients who underwent lipoabdominoplasty at the hospital between April 2020 and May 2024 were selected as the research subjects.Data on the patients'age,body mass index(BMI),smoking history,total liposuction volume,operation duration and complications were collected.The patients were divided into the complication group and the non-complication group based on whether they developed postoperative complications.Univariate analysis and multivariate Logistic Regression Analysis were performed on the aforementioned variables between the two groups to identify the independent predictive value of each variable for the occurrence of overall postoperative complications.Results Among the 244 patients in this group,the incidence of mild postoperative complications(including low back pain,hypotension,seroma,incision dehiscence,incision fat liquefaction,incision infection,and intermuscular thrombosis in the lower leg)was 32.3%,and the incidence of severe postoperative complications(including severe seroma,flap necrosis,incision infection,incision fat liquefaction,and atelectasis)was 6.2%.Univariate analysis showed statistically significant differences in age,BMI,and liposuction volume between the two groups(P＜0.05),while no significant differences were found in smoking history or operative duration(P＞0.05).Multivariate Logistic Regression Analysis demonstrated that age,BMI,and liposuction volume were independent risk factors for postoperative overall complications(P＜0.05),whereas smoking history and operative duration exerted no independent effects(P＞0.05).Conclusion lipoabdominoplasty is relatively safe,and most complications are mild.After adjusting confounding factors,age,BMI and liposuction volume are independent risk factors for postoperative complications,which can be applied to preoperative screening of high-risk patients and individualized perioperative risk counseling.
邹敬江;陈容容;曹颖璇;文笛;杨凡;夏学颖
广东省妇幼保健院医疗美容科 广东 广州 5105152||暨南大学附属第一医院整形外科 广东 广州 510630广东省妇幼保健院医疗美容科 广东 广州 5105152广东省妇幼保健院医疗美容科 广东 广州 5105152广东省妇幼保健院医疗美容科 广东 广州 5105152广东省妇幼保健院医疗美容科 广东 广州 5105152广东省妇幼保健院医疗美容科 广东 广州 5105152
医药卫生
腹壁整形术吸脂吸脂腹壁整形术并发症危险因素Logistic回归分析
abdominoplastyliposuctionlipoabdominoplastycomplicationsrisk factorsLogistic regression analysis
《中国美容医学》 2026 (9)
7-11,5
广东省医学科学技术研究基金(编号:A2024081)
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