腹腔镜下腹股沟疝修补术后发生血清肿的影响因素分析

Analysis of Influencing Factors of Seroma After Laparoscopic Inguinal Hernia Repair

目的探讨腹腔镜下腹股沟疝修补术后发生血清肿的影响因素。方法回顾性分析2018年1月~2020年10月我科301例腹腔镜腹股沟疝修补术的临床资料,按照患者术后是否发生血清肿分为无血清肿组(n=281)和血清肿组(n=20),采用单因素和多因素logistic回归分析腹股沟疝修补术后发生血清肿的影响因素。结果单因素分析显示:病程、服用抗凝药物、疝囊直径、术前血清总蛋白和白蛋白、术前中性粒细胞/淋巴细胞比值和术中出血量差异有显著性(P<0.05)。多因素logistic回归分析显示:病程>1年、疝囊直径≥5 cm、术中出血量>10 ml为腹腔镜下腹股沟疝修补术后发生血清肿的预后因素。结论病程>1年、疝囊直径≥5 cm、术中出血量>10 ml为腹腔镜下腹股沟疝修补术后发生血清肿的预后因素。

Objective To explore the influencing factors of seroma after laparoscopic inguinal hernia repair.MethodsClinical data of 301 patients undergoing laparoscopic inguinal hernia repair in our hospital from January 2018 to October 2020 were retrospectively analyzed.According to whether the patients had seroma after operation,they were divided into seroma-free group(n=281)and seroma group(n=20).Results Univariate analysis showed that there was a significant correlation between course of disease,anticoagulant,diameter of hernia sac,preoperative serum total protein and albumin,neutrophil/lymphocyte ratio(NLR),amount of intraoperative bleeding and seroma after laparoscopic inguinal hernia repair(P<0.05).Multivariate logistic regression analysis showed that course of disease>1 year,hernia sac diameter≥5 cm,intraoperative bleeding>10 ml were prognostic factors for seroma after laparoscopic inguinal hernia repair(P<0.05).Conclusion Course of disease>1 year,hernia sac diameter≥5 cm,and intraoperative bleeding volume>10 ml are prognostic factors for seroma after laparoscopic inguinal hernia repair.