Risk factors of colostomy site incisional hernia after colorectal cancer and the construction and validation of the nomogram model
10.3969/j.issn.1009-9905.2025.01.002
- VernacularTitle:结直肠癌相关肠造口部位切口疝危险因素分析及列线图的构建与验证
- Author:
Xu-fei GONG
1
;
Hui CHENG
;
Yuan-yuan XING
;
Ming-xiao GUO
Author Information
1. 临沂市人民医院 普外科(山东 临沂 276000);锦州医科大学 临沂市人民医院研究生培养基地(山东 临沂 276000)
- Publication Type:Journal Article
- Keywords:
Colorectal tumor;
Inconal hernia at the stoma site;
Risk factors;
Nomogram
- From:
Chinese Journal of Current Advances in General Surgery
2025;28(1):7-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors of colostomy site incisional hernia associated with colorectal can-cer and to construct and validate a nomogram model.Methods:A retrospective case-control study was conducted to collect and analyze the clinical data of patients who underwent stoma reversal after colorectal cancer surgery in the Gen-eral Surgery Department of Linyi People's Hospital from January 2019 to January 2023.A total of 371 patients were en-rolled and divided into SSIH group and non-SSIH group according to whether SSIH occurred.SPSS 25.0 software was used to perform univariate analysis on 22 related factors of patients,and multivariate analysis was performed on statisti-cally significant risk factors to screen out the independent influencing factors of SSIH related to CRC surgery.According to the results of multivariate analysis,the R language version 4.3.1 was used to establish and verify the nomogram risk prediction model.Results:SSIH occurred in 52 of 371 patients(14.02％).The results of univariate analysis showed that BMI,coronary heart disease,incision infection,stoma location,parastomal hernia,and closure time were statistically sig-nificant(P＜0.05).Multivariate analysis showed that coronary heart disease,closure time and parastomal hernia were in-dependent risk factors for SSIH after CRC(P＜0.05).Based on the above results,the nomogram prediction model was successfully drawn and verified.Conclusions:Coronary heart disease,closure time and parastomal hernia are inde-pendent risk factors for SSIH after CRC surgery.The nomogram constructed based on these factors has a high predictive value for SSIH,which can provide a basis for clinicians to prevent and treat SSIH,and help reduce the incidence of SSIH.
