| 郭自成,张方捷,吴浩,高国栋.腹腔镜治疗复发腹股沟疝术后并发症影响因素分析[J].浙江中西医结合杂志,2022,32(10): |
| 腹腔镜治疗复发腹股沟疝术后并发症影响因素分析 |
| Analysis of factors affecting postoperative complications after laparoscopic treatment of recurrent inguinal hernia |
| 投稿时间：2022-07-01 修订日期：2022-08-15 |
| DOI： |
| 中文关键词: 复发腹股沟疝；腹腔镜经腹腔腹膜前疝修补术 术后并发症 影响因素 |
| 英文关键词:recurrent inguinal hernia trans-abdominal preperitoneal postoperative complications related influencing factors |
| 基金项目:浙江省基础公益研究计划(No.LGF20H030007) |
|
| 摘要点击次数: 729 |
| 全文下载次数: 15 |
| 中文摘要: |
| 目的：探讨腹腔镜经腹腔腹膜前疝修补术（TAPP）治疗复发性腹股沟疝术后并发症发生情况及相关影响因素。
方法：回顾性分析2015年05月01日至2020年09月30日期间接受TAPP手术的复发性腹股沟疝98例患者的临床资料。所用手术患者术后门诊或电话随访12个月以上，统计其并发症发生情况。并将患者分为并发症组16例和非并发症组82例，比较两组患者年龄、性别、身体质量指数、补片组织粘连评分、疝环大小、本次手术时间及距上次手术时间，采用单因素及多因素Logistic回归分析术后并发症发生的影响因素。
结果：并发症组患者术后血清肿8例、慢性疼痛2例、尿潴留3例、再次复发2例、下肢血栓1例，均为单独发病，总发生率为16.33% (16/98)。 两组患者单因素分析显示身体质量指数、复发时间、ASA评分、疝环直径及补片组织粘连评分差异有统计学意义。 多因素Logistic回归分析发现，身体质量指数、补片组织粘连评分、疝环大小为患者术后并发症发生的独立危险因素。
结论：复发性腹股沟疝采用腹腔镜经腹腔腹膜前疝修补术治疗常见的并发症有血清肿、慢性疼痛、尿潴留、再次复发，其中补片组织粘连评分、身体质量指数、疝环大小为患者术后并发症发生的独立危险因素。 |
| 英文摘要: |
| Objective: To investigate the occurrence of postoperative complications and related influencing factors after laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) for recurrent inguinal hernia.
Methods: The clinical data of 98 patients with recurrent inguinal hernias who underwent TAPP between May 01, 2015, and September 30, 2020, were retrospectively analyzed. The patients used for the surgery were followed up for more than 12 months in the postoperative outpatient clinic or by telephone, and their complications were counted. And the patients were divided into 16 cases in the complication group and 82 cases in the non-complication group. The age, gender, body mass index, mesh tissue adhesion score, hernia ring size, time of this operation, and time since the last operation was compared between the two groups, and the factors influencing the occurrence of postoperative complications were analyzed by single-factor and multi-factor logistic regression.
Results: The patients in the complication group had 8 cases of postoperative seroma, 2 cases of chronic pain, 3 cases of urinary retention, 2 cases of recurrence, and 1 case of lower extremity thrombosis, all of which were isolated, with an overall incidence of 16.33% (16/98). Uni-variate analysis of the two groups showed statistically significant differences in body mass index, time to recurrence, ASA score, hernia ring diameter, and mesh tissue adhesion score. Multi-factorial logistic regression analysis revealed that body mass index, mesh tissue adhesion score, and hernia ring size were independent risk factors for the development of postoperative complications in patients.
Conclusion: The common complications of recurrent inguinal hernia treated by laparoscopic trans-abdominal preperitoneal hernia repair include seroma, chronic pain, urinary retention, and recurrence, with mesh tissue adhesion score, body mass index, and hernia ring size as independent risk factors for the occurrence of postoperative complications in patients. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
