腹股沟疝术后复发原因分析

Analysis of the Causes of Recurrence of Inguinal Hernia after Operation

目的探讨导致腹股沟疝患者术后疾病复发系列因素,并研究有效措施展开对应干预,以改善腹股沟疝患者预后水平。方法方便选取该院2017年6月—2020年2月收治的511例腹股沟疝患者作为研究对象,临床就导致腹股沟疝患者完成手术后呈现出疾病复发诱因进行分析,以确定有效方法展开针对性干预,为腹股沟疝患者预后提升做出保证。结果对于该次研究收治的511例腹股沟疝患者而言,表现出术后复发患者24例(4.70%);就复发患者性别进行观察发现,女2例,男22例,所占比例分别为8.33%以及91.67%;就复发疝疾病类型进行分析,18例属于斜疝患者,4例属于直疝患者,2例属于股疝患者;对于24例术后复发患者,存在慢性支气管炎疾病史患者5例,存在吸烟史患者19例;15例患者属于1年内复发;临床就导致患者呈现出腹股沟疝术后复发诱因进行Logistic回归分析,同患者性别、年龄、术后运动过早、前列腺增生、便秘、疝内容物是否出现嵌顿以及是否急诊手术、是否放置补片表现出显著相关性(P<0.05)。结论对于腹股沟疝患者而言,存在诸多原因导致其呈现出疾病复发现象,具体分析患者性别、年龄、术后运动过早、前列腺增生、便秘、疝内容物是否出现嵌顿以及是否急诊手术、是否放置补片等密切关联,对此要求临床医师需要将业务学习加强,将自身业务素质提高,就疾病复发因素确定针对性措施展开对应干预,以使腹股沟疝疾病复发率显著降低,为腹股沟疝患者预后提升做出充分保证。

Objective To explore a series of factors that lead to the recurrence of inguinal hernia patients after surgery,and to study effective measures to carry out corresponding interventions to improve the prognosis of patients with inguinal hernia.Methods 511 patients with inguinal hernia admitted to the hospital from June 2017 to February 2020 were conveniently selected as research subjects.The clinical causes of inguinal hernia patients showing recurrence after surgery were analyzed to determine effective methods to carry out targeted interventions,to make sure to improve the prognosis of patients with inguinal hernia.Results For the 511 patients with inguinal hernia admitted in this study,24 patients(4.70%)showed postoperative recurrence.According to the gender of the recurrence patients,it was found that there were 2 females and 22 males,accounting for 8.33%and 91.67%;analysis of the types of recurrent hernia diseases,18 cases belonged to patients with indirect hernia,4 cases belonged to patients with direct hernia,and 2 cases belonged to patients with femoral hernia;for 24 patients with postoperative recurrence,patients with a history of chronic bronchitis 5 cases,19 patients with a history of smoking;15 patients had relapse within 1 year;clinically,the patients presented with inguinal hernia postoperative recurrence inducement by Logistic regression analysis,there was a significant correlation with the patient's gender,age,premature postoperative exercise,prostate hyperplasia,constipation,whether the hernia content was incarcerated,whether it was emergency surgery,whether or not the patch was placed(P<0.05).Conclusion For inguinal hernia patients,there are many reasons for the recurrence of the disease.Specific analysis of the patient’s gender,age,premature postoperative exercise,prostate hyperplasia,constipation,whether the hernia content is incarcerated,whether it is emergency surgery,whether the placement of patches is closely related to this,which requires clinicians to strengthen their professional learning,improve their own professional quality,and carry out corresponding interventions to determine targeted measures for disease recurrence factors,so as to significantly reduce the recurrence rate of inguinal hernia disease,which is for patients with inguinal hernia.The prognosis improvement is fully guaranteed.