老年腹股沟疝患者腹腔镜疝修补术后发生血清肿的影响因素  

Influencing factors of seroma after laparoscopic hernia repair in elderly patients with inguinal hernia

作　　者：涂琼 古春阳 TU Qiong;GU Chunyang(Department of Surgery of Fengxin County People’s Hospital,Yichun 330700 Jiangxi,China)

机构地区：[1]奉新县人民医院外科,江西宜春330700

出　　处：《中国民康医学》2024年第15期6-8,12,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析老年腹股沟疝患者腹腔镜疝修补术后发生血清肿的影响因素。方法:选取2021年1月至2023年11月该院收治的60例老年腹股沟疝患者进行横断面研究。所有患者均行腹腔镜疝修补术,术后随访3个月,根据术后是否发生血清肿将其分为发生组(n=14)和未发生组(n=46)。收集患者一般资料,采用Logistic回归分析老年腹股沟疝患者腹腔镜疝修补术后发生血清肿的影响因素。结果:60例老年腹股沟疝术后患者中,发生血清肿14例,占23.33%(14/60),包括Ⅰ型3例、Ⅱ型5例、Ⅲ型4例、Ⅳ型2例,未发生血清肿48例,占76.67%(46/60);两组性别、年龄、疝囊处理方式比较,差异均无统计学意义(P>0.05);发生组体质量指数(BMI)>24 kg/m^(2)、双侧疝、直疝、疝囊直径>4 cm、手术时间>60 min、术中出血量>10 mL、普通补片占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,BMI>24 kg/m^(2)、双侧疝、直疝、疝囊直径>4 cm、手术时间>60 min、术中出血量>10 mL、普通补片均为老年腹股沟疝患者腹腔镜疝修补术后发生血清肿的危险因素(OR>1,P<0.05)。结论:BMI>24 kg/m^(2)、双侧疝、直疝、疝囊直径>4 cm、手术时间>60 min、术中出血量>10 mL、普通补片均为老年腹股沟疝患者腹腔镜疝修补术后发生血清肿的危险因素。Objective:To analyze influencing factors of seroma in elderly patients after laparoscopic inguinal hernia repair.Methods:A cross-sectional study was conducted on 60 elderly patients with inguinal hernia admitted to this hospital from January 2021 to November 2023.All patients underwent laparoscopic hernia repair.These patients were followed up for 3 months.According to whether seroma occurred after the surgery,they were divided into occurrence group(n=14)and non-occurrence group(n=46).The general data of these patients were collected.Logistic regression was used to analyze the influencing factors of seroma in the elderly patients after laparoscopic inguinal hernia repair.Results:Among the 60 elderly patients after laparoscopic inguinal hernia repair,14 cases(23.33%)developed seromas,including 3 cases of type I,5 cases of type II,4 cases of type III,and 2 cases of type IV;and there were 48 cases(76.67%)without seromas.There were no statistically significant differences in the proportions of gender,age,and hernia sac treatment between the two groups(P>0.05).The proportions of the patients with BMI>24 kg/m^(2),bilateral hernia,direct hernia,hernia sac diameter>4 cm,surgery time>60 minutes,intraoperative bleeding>10 mL,and ordinary patches in the incidence group proportion were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).The Logistic regression analysis showed that BMI>24 kg/m^(2),bilateral hernia,direct hernia,hernia sac diameter>4 cm,surgery time>60 min,intraoperative bleeding>10 mL,and ordinary patch were all risk factors for seroma in the elderly patients after laparoscopic inguinal hernia repair(OR>1,P<0.05).Conclusions:BMI>24 kg/m^(2),bilateral hernia,direct hernia,hernia sac diameter>4 cm,surgery time>60 min,intraoperative bleeding>10 mL,and ordinary patch are the risk factors for serum swelling in the elderly patients after laparoscopic inguinal hernia repair.

关 键 词：老年 腹股沟疝 腹腔镜疝修补术 血清肿 双侧疝 直疝 术中出血量 

分 类 号：R656.21[医药卫生—外科学]