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治疗可以减低术后并发症发生的风险,同时病人的自身因素年龄和BMI也是影响术后并发症发生的独立危险因素。
Objective To explore the risk factors of postoperative complications in patients with inguinal hernia.Methods Ninetysix cases of inguinal hernia repair in Wuhu NO.1 People’s Hospital from August 2016 to May 2018 were selected.The correlation between postoperative complications and general clinical data,such as age,sex,location and type of inguinal hernia,BMI and surgical 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 incidence of early complications,long-term complications and the overall incidence of postoperative complications(P>0.05).The incidence 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)and surgical procedure(OR=0.184)were independent risk factors for postoperative complications(P<0.05),while other factors including gender,hernia location,type of hernia were not independent risk factors for postoperative complications(P>0.05).Conclusions TAPP therapy can reduce the risk of postoperative complications in inguinal hernia patients.The age and BMI of patients with inguinal hernia are independent risk factors for postoperative complications.
作者
杨耀鑫
邱钧
YANG Yaoxin;QIU Jun(Department of General Surgery,Wuhu NO.1 People’s Hospital,Wuhu,Anhui 241000,China)
出处
《安徽医药》
CAS
2020年第6期1159-1162,共4页
Anhui Medical and Pharmaceutical Journal
