成人腹股沟疝修补术后并发浆液肿的影响因素

Influencing Factors of Seroma After Repair of Adult Inguinal Hernia

目的探讨成人腹股沟疝(IH)患者修补术后并发浆液肿的影响因素。方法选择2020年10月至2021年10月郑州大学第一附属医院收治的625例IH患者作为研究对象,所有患者均接受腹腔镜腹股沟疝修补术(LIHR)治疗。依据患者术后住院期间浆液肿的发生情况分组,将发生浆液肿患者纳入发生组,将未发生浆液肿患者纳入未发生组,记录两组患者基线资料。采用logistic回归分析成人IH患者LIHR术后并发浆液肿的相关因素。结果625例IH患者术后发生浆液肿51例,发生率为8.16%;发生组年龄大于未发生组,病程长于未发生组,体质量指数≥24kg·m^(-2)、合并慢性阻塞性肺疾病(COPD)、腹股沟疝嵌顿患者占比高于未发生组,差异有统计学意义(P<0.05);行多项logistic回归分析结果显示,年龄、病程、体质量指数≥24kg·m^(-2)、合并COPD及腹股沟疝嵌顿是IH患者LIHR术后并发浆液肿的危险因素(OR>1,P<0.05)。结论成人IH患者LIHR术后浆液肿的发生可能受年龄、病程、体质量指数、COPD、腹股沟疝嵌顿的影响。

Objective To investigate the influencing factors of seroma after repair of adult inguinal hernia(IH).Methods A total of 625 patients with IH treated in the First Affiliated Hospital of Zhengzhou University from October 2020 to October 2021 were selected as the study subjects,and all patients received laparoscopic inguinal hernia repair(LIHR).The patients were divided into two groups according to the occurrence of seroma during postoperative hospitalization,and the patients with seroma were included in occurrence group and the patients without seroma were included in non-occurrence group.The baseline data of patients of two groups were recorded.Logistic regression was used to analyze the related factors of seroma after LIHR in adult patients with IH.Results After LIHR treatment,51 of 625 patients with IH developed seroma after surgery,with an incidence of 8.16%.The age of occurrence group was older than that of non-occurrence group,and the course of disease was longer than that of non-occurrence group,and the proportion of patients with body mass index≥24 kg·m^(-2),chronic obstructive pulmonary disease(COPD)and inguinal hernia incarceration was higher than that of non-occurrence group,while the differences were statistically significant(P<0.05).Multiple logistic regression analysis was performed,and the results showed that age,course of disease,body mass index≥24 kg·m^(-2),COPD and inguinal hernia incarceration were the risk factors of seroma after LIHR in IH patients(OR>1,P<0.05).Conclusion The occurrence of seroma after LIHR in adult patients with IH may be affected by age,course of disease,body mass index,COPD and inguinal hernia incarceration.