腹腔镜下腹股沟疝修补术后患儿恢复的影响因素

Influencing factors of recovery of children after laparoscopic inguinal hernia repair

目的:分析腹腔镜下腹股沟疝修补术后患儿恢复的影响因素。方法:回顾性分析2021年6月至2022年3月该院收治的80例行腹腔镜下腹股沟疝修补术患儿的临床资料。根据术后恢复情况分为恢复良好组(n=63)和恢复较差组(n=17),并采用Logistic回归分析腹腔镜下腹股沟疝修补术后患儿恢复的影响因素。结果:单因素分析结果显示,恢复较差组的年龄、性别、疝部位、病程、疝类型与恢复良好组比较,差异均无统计学意义(P>0.05);恢复较差组的肥胖、疝囊直径≥5 cm、内环直径≥1.5 cm、术中出血量≥4 mL、可吸收线结扎、嵌顿疝的占比均高于恢复良好组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,肥胖、疝囊直径≥5 cm、内环直径≥1.5 cm、术中出血量≥4 mL、可吸收线结扎、嵌顿疝均为影响患儿腹腔镜下腹股沟疝修补术后恢复的危险因素(P<0.05)。结论:肥胖、疝囊直径≥5 cm、内环直径≥1.5 cm、术中出血量≥4 mL、可吸收线结扎、嵌顿疝均为影响患儿腹腔镜下腹股沟疝修补术后恢复的危险因素。

Objective:To analyze influencing factors of recovery of children after laparoscopic inguinal hernia repair.Methods:The clinical data of 80 cases after laparoscopic inguinal hernia repair in this hospital from June 2021 to March 2022 were retrospectively analyzed.According to the postoperative recovery,they were divided into good recovery group(n=63)and poor recovery group(n=17).Logistic regression analysis was used to analyze the influencing factors of the recovery of the children after laparoscopic inguinal hernia repair.Results:Univariate analysis showed that there were no significant differences in age,gender,hernia site,course of disease,and hernia type between the good recovery group and the poor recovery group(P>0.05).The proportions of obesity,hernia sac diameter≥5 cm,inner ring diameter≥1.5 cm,intraoperative bleeding≥4 mL,absorbable suture ligation,and incarcerated hernia in the poor recovery group were higher than those in the good recovery group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that obesity,hernia sac diameter≥5 cm,inner ring diameter≥1.5 cm,intraoperative bleeding≥4 mL,absorbable suture ligation,and incarcerated hernia were all risk factors affecting the postoperative recovery in the children after laparoscopic inguinal hernia repair(P<0.05).Conclusions:Obesity,hernia sac diameter≥5 cm,inner ring diameter≥1.5 cm,intraoperative bleeding≥4 mL,absorbable suture ligation,and incarcerated hernia are all risk factors that affect the recovery of the children after laparoscopic inguinal hernia repair.