Lichtenstein平片疝修补术治疗老年复发性腹股沟疝术后并发症及相关影响因素分析

Analysis of Lichtenstein Inguinal Hernia Repair in the Treatment of Elderly Recurrent Inguinal Hernia Postoperative Complications and Related Influening Factors

目的:探讨Lichtenstein平片疝修补术治疗老年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2018年1月~2020年5月行Lichtenstein平片疝修补术治疗的120例老年复发性腹股沟疝患者的临床资料。全部患者术后门诊或电话随访6个月,统计其并发症发生情况。将患者分为并发症组26例患者和非并发症组94例患者,比较两组年龄、性别、身体质量指数、疾病类型、疾病分级、疝囊大小以及疝环粘连程度,采用多因素Logistic回归分析并发症发生的影响因素。结果:120例患者术后切口感染9例、疼痛8例、尿潴留4例、阴囊血肿5例,均为单独发病,总发生率为21.67%。两组身体质量指数、疾病分级、疝囊大小以及疝环粘连程度比较,差异有统计学意义(P<0.05)。多因素logistics回归分析发现,身体质量指数、疾病分级、疝囊大小以及疝环粘连程度为患者术后并发症发生的独立危险因素。结论:老年复发疝采用Lichtenstein平片疝修补术治疗常见的并发症有切口感染、疼痛,其中身体质量指数、疾病分级、疝囊大小以及疝环粘连程度为患者术后并发症发生的独立危险因素。

Objective:To study the Lichtenstein inguinal hernia repair in the treatment of elderly recurrent inguinal hernia postoperative complications and related Influening factors.Methods:A retrospective analysis of the clinical data of 120 elderly patients with recurrent inguinal hernia who performed Lichtenstein hernia repair from January 2018 to May 2020.All patients were followed up by outpatient service or telephone for 6 months and analyzed the incidence of complications.The patients were divided into,26 patients in the complication group and 94 patients in the non-complication group.Compared the two groups of age,sex,BMI,disease type,disease classification,hernia sac size,and degree of hernia ring adhesion.The influencing factors of the incidence of complications were analyzed by multivariate logistic regression.Results:There were 9 cases of incisional infection,8 cases of pain,4 cases of urinary retention,and 5 cases of scrotal hematoma in 120 postoperation patients,and all were isolated,with a total incidence of 21.67%.Analysis showed that there were significant differences in BMI,disease grade,hernia sac size,and degree of hernia ring adhesion between the two groups(P<0.05).Multiple logistic regression analyses showed that BMI,disease grade,hernia sac size,and degree of hernia ring adhesion were independent risk factors for postoperative complications.Conclusion:The common complications of Lichtenstein inguinal hernia repair in elderly patients with recurrent hernia are incisional infection and pain.BMI,disease grade,hernia sac size,and degree of hernia ring adhesion are independent risk factors for postoperative complications.