| 杨耀鑫,邱钧.腹股沟疝病人术后并发症发生危险因素的探讨[J].安徽医药,2020,24(6):1159-1162. |
| 腹股沟疝病人术后并发症发生危险因素的探讨 |
| Independent risk factors for postoperative complications in adult patients with inguinal hernia |
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| DOI：10.3969/j.issn.1009?6469.2020.06.024 |
| 中文关键词: 疝修补术/副作用 疝，腹股沟 腹腔镜检查 危险因素 |
| 英文关键词: Herniorrhaphy/adverse effects Hernia,inguinal Laparoscopy Risk factors |
| 基金项目: |
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| 中文摘要: |
| 目的探讨腹股沟疝病人术后并发症发生危险因素。方法选择 2016年 8月至 2018年 5月在芜湖市第一人民医院接受腹股沟疝修补术的病人 96例，统计病人术后并发症与年龄、性别、腹股沟疝位置和类型、体质量指数( BMI)以及手术方式等一般临床资料之间的相关性，并分析术后并发症发生的相关危险因素。结果出现术后并发症的病人 27例，其中出现早期并发症的病人 19例，远期并发症的病人 8例。病人的性别、腹股沟疝位置和类型对病人术后早期并发症发生率、远期并发症发生率以及总发生率均无影响( P＞0.05)。＞ 60岁病人术后并发症发生率 37.1%明显高于 ≤60岁的病人［ 0~30岁: 11.1%，＞30~60岁:12.0%］(P＜0.05)。 BMI≤24 kg/m2的病人术后早期并发症发生率 9.5%(P＜0.05)和并发症总发生率 11.9%(P＜0.01)均低于 BMI＞24 kg/m2的病人( 27.8%，40.8%)。 TAPP手术治疗相较于开放性手术，术后病人早期并发症发生率( 8.3%比 31.3%)和并发症总发生率( 12.5%比 43.8%)均明显下降( P＜0.01)。 logistic回归分析得出，年龄( OR＝4.325)、 BMI(OR＝5.087)以及手术方式( OR＝0.184)是影响病人出现术后并发症的独立危险因素( P＜0.05)其他因素(性别、疝位置、疝类型)不是影响病人出现术后并发症的独立危险因素( P＞0.05)。结论腹股沟疝病人选择 TAPP疗可以减低术后并发症发生的风险，同时病人的自身治，因素年龄和 BMI也是影响术后并发症发生的独立危险因素。 |
| 英文摘要: |
| Objective To explore the risk factors of postoperative complications in patients with inguinal hernia.Methods Ninety? six cases of inguinal hernia repair in Wuhu NO.1 People’s Hospital from August 2016 to May 2018 were selected.The correlationbetween postoperative complications and general clinical data，such as age，sex，location and type of inguinal hernia，BMI and surgi? cal procedure，was analyzed.Results There were 27 patients with postoperative complications，including 19 patients with early complications and 8 patients with long?term complications.The gender，position and type of inguinal hernia had no effect on the inci? dence of early complications，long?term complications and the overall incidence of postoperative complications(P＞0.05).The inci? dence of postoperative complications in patients over 60 years old(37.1%)was significantly higher than that in patients under 60 years old［0?30 years old:11.1%，＞30?60 years old:12.0%］( P＜0.05).The incidence of early postoperative complications(9.5% vs. 27.8%，P＜0.05)and the overall incidence of complications(11.9% vs. 27.8%，P＜0.01)in patients with BMI≤24 kg/m2 were lower than those in patients with BMI＞24 kg/m2.Compared with open surgery，the incidence of early complications(8.3% vs. 31.3%)and the total incidence of complications(12.5% vs. 43.8%)in transabdominal preperitioneal laparoscopie herniorrhaphy(TAPP)patients were significantly decreased(P＜0.01).Logistic regression analysis showed that age(OR＝4.325)，BMI(OR＝5.087) |
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