腹腔镜经腹腹膜前疝修补术治疗老年男性病人腹股沟疝的临床效果及术后复发影响因素分析  

Clinical efficacy and influencing factors of postoperative recurrence of inguinal hernia in elderly male patients treated with laparoscopic transabdominal anterior peritoneal hernia repair

作　　者：杨来志 项本宏 吴强 王磊 吴昊 方寅[1] YANG Laizhi;XIANG Benhong;WU Qiang;WANG Lei;WU Hao;FANG Yin(Department of Emergency Surgery,Wuhu First People’s Hospital,Wuhu 241000,China;不详)

机构地区：[1]安徽省芜湖市第一人民医院急诊外科,241000 [2]安徽省芜湖市第一人民医院胃肠外科,241000

出　　处：《临床外科杂志》2024年第11期1219-1221,共3页Journal of Clinical Surgery

摘　　要：目的探讨腹腔镜经腹腹膜前疝修补术(TAPP)治疗老年男性病人腹股沟疝临床效果,分析术后复发影响因素。方法2020年1月~2023年6月行TAPP治疗的老年男性腹股沟疝病人93例,根据术后是否复发分为复发组和无复发组。通过单因素分析及多因素logistic回归分析TAPP术后复发的危险因素。结果复发组疝囊直径≥3 cm、下腹部手术史、重度疝环粘连及手术时间≥60分钟比例均高于无复发组,差异有统计学意义(P<0.05)。多因素logistic回归分析表明,疝囊直径≥3 cm、有下腹部手术史、重度疝环粘连是TAPP术后复发的独立危险因素(P<0.05)。结论TAPP治疗老年男性腹股沟疝较为安全可靠,疝囊直径≥3 cm、有下腹部手术史、重度疝环粘连是老年男性病人TAPP术后复发的风险因素。Objective The purpose of this study is to explore the clinical efficacy of laparoscopic transabdominal anterior peritoneal hernia repair(TAPP)in the treatment of inguinal hernia in elderly male patients,and to analyze the factors influencing postoperative recurrence.Methods A retrospective analysis was conducted on the clinical data of 93 elderly male patients admitted to our hospital for TAPP from January 2020 to June 2023.They were divided into a recurrence group and a non-recurrence group based on postoperative recurrence.Risk factors for postoperative recurrence of TAPP were analyzed through univariate analysis and logistic regression analysis.Results The proportion of hernia sac diameter≥3 cm,lower abdominal surgery history,severe hernia ring adhesion and surgery time≥60 min in the recurrent group were significantly higher than those in the non-recurrence group(P<0.05).Multivariate logistic analysis showed that hernia sac diameter≥3 cm,history of lower abdominal surgery,and severe hernia ring adhesion were independent risk factors for postoperative recurrence of TAPP(P<0.05).Conclusion TAPP is a safe and reliable treatment for inguinal hernia in elderly male patients.The diameter of the hernia sac≥3 cm,a history of lower abdominal surgery,and severe hernia ring adhesion may increase the risk of postoperative recurrence in elderly male patients with TAPP.

关 键 词：男性 老年 腹股沟疝 腹腔镜经腹腹膜前疝修补术 复发 影响因素 

分 类 号：R656.21[医药卫生—外科学]